Claim total
$1,502.22
base $127.17 · payer covered $901.32
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2015-06-15
- Stop
- 2015-06-16
The parties
- Patient
- patient Bo Gino Murazik
- Provider
- provider Stanford Rogahn
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
003af57f-1886-144b-2676-2ca82fa07961