Claim total
$127.21
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2011-08-08
- Stop
- 2011-08-09
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Gil Collins
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03e70281-0fa0-c7c6-f1b1-facae386f149