Claim total
$196.13
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1997-12-11
- Stop
- 1997-12-12
The parties
- Patient
- patient Britany Kerrie West
- Provider
- provider Richie Bergstrom
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
02a95708-afbd-de6b-347a-fd7534e3eb4b