Claim total
$425.64
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2014-08-10
- Stop
- 2014-08-11
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Corinne Kuphal
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-b416-2543a760c5c9