Claim total
$127.23
base $127.17 · payer covered $77.23
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2023-11-14
- Stop
- 2023-11-15
The parties
- Patient
- patient Cleo Timothy Kemmer
- Provider
- provider Stanford Rogahn
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
04d0e486-8d5f-7bad-ba0d-7fdbad6ca3c0