Claim total
$211.53
base $127.17 · payer covered $211.53
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2026-01-30
- Stop
- 2026-01-31
The parties
- Patient
- patient Temple Joe Beer
- Provider
- provider Stanford Rogahn
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
031e9e86-1ff9-e433-d3e1-3085e79255c8