Claim total
$127.33
base $127.17 · payer covered $77.33
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2023-05-24
- Stop
- 2023-05-25
The parties
- Provider
- provider Mira Denesik
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-b05e-4ddac81e1e82