Claim total
$1,361.07
base $127.17 · payer covered $1,088.86
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2003-10-21
- Stop
- 2003-10-22
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Gerardo Cruickshank
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-bb8b-f6f3d7755add