Claim total
$156.28
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1988-10-03
- Stop
- 1988-10-04
The parties
- Patient
- patient Leif Darren West
- Provider
- provider Florencio Koepp
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
04bc601b-5b17-3710-5401-dbc5d5c5b62b