Claim total
$12,999.19
base $127.17 · payer covered $10,399.35
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1999-11-24
- Stop
- 1999-11-25
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-023c-5e1b3b5a7576