Claim total
$127.23
base $127.17 · payer covered $77.23
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2017-01-31
- Stop
- 2017-02-01
The parties
- Patient
- patient Matt Stanton Brown
- Provider
- provider Douglass Windler
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04e52287-fbd6-ff57-0b62-7a4a535322b3