Claim total
$355.99
base $127.17 · payer covered $305.99
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2023-03-01
- Stop
- 2023-03-02
The parties
- Patient
- patient Ronald Inga Torphy
- Provider
- provider Noe Jerde
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
05af61d0-e78c-a60a-bd9a-7eb10bba3ff7