Claim total
$345.63
base $127.17 · payer covered $195.63
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1996-04-02
- Stop
- 1996-04-03
The parties
- Patient
- patient Louella Roberts
- Provider
- provider Gertrud Kunde
- Payer
- payer Medicaid
Record id
05092f50-4c35-2d72-97c6-074bfc8219ee