Claim total
$916.49
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2002-06-19
- Stop
- 2002-06-20
The parties
- Patient
- patient Rufus Milford Koelpin
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
3a95383e-dcb8-456a-ebca-a0fd4a0ac955