Claim total
$1,524.01
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2015-05-16
- Stop
- 2015-05-17
The parties
- Patient
- patient Angele Khalilah Kuphal
- Provider
- provider Carl Halvorson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
044947be-396f-8eb7-cd1e-6168f2cf2865