Claim total
$36,658.50
base $127.17 · payer covered $21,995.10
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2024-04-29
- Stop
- 2024-05-01
The parties
- Patient
- patient Blake Rudolph Von
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
01986319-54e6-598a-d146-bdd20ebf7938