Claim total
$491.68
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2002-06-10
- Stop
- 2002-06-11
The parties
- Patient
- patient Mike Brendon Hackett
- Provider
- provider Liane Wehner
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
048bde62-95d9-bb18-b288-580118a918d0