Claim total
$31,192.61
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2004-09-15
- Stop
- 2004-09-16
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0277738c-b3e3-4ada-d187-f750f5441db5