Claim total
$20,109.64
base $127.17 · payer covered $20,109.64
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2008-12-03
- Stop
- 2008-12-06
The parties
- Patient
- patient Orlando Reinaldo Cronin
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
016cc543-ba51-79f8-a39e-35fe2bbe01bb