Claim total
$10,596.72
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1992-07-08
- Stop
- 1992-07-09
The parties
- Patient
- patient Elisha Sergio Champlin
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0ae894da-e84d-0c09-a5b6-613e566b798d