Claim total
$674.22
base $127.17 · payer covered $674.22
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2010-11-15
- Stop
- 2010-11-16
The parties
- Patient
- patient Otha Jewel Ankunding
- Provider
- provider Stanford Rogahn
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
01bd7d75-9405-280a-64e4-d7810c4cf32e