Claim total
$951.56
base $127.17 · payer covered $901.56
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2019-08-13
- Stop
- 2019-08-14
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Gertrud Kunde
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-de1c-f8b3c45e2f1c