Claim total
$709.15
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1993-01-22
- Stop
- 1993-01-23
The parties
- Provider
- provider Ryan Greenholt
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
02e77898-0a14-d00d-545a-b69ae4d9383a