Claim total
$785.93
base $127.17 · payer covered $735.93
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1966-01-08
- Stop
- 1966-01-09
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Jerrod Roob
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
03959b6c-660d-eecd-d844-e314c862d4ae