Claim total
$36,658.50
base $127.17 · payer covered $29,326.80
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2020-01-20
- Stop
- 2020-01-22
The parties
- Patient
- patient Sarah Grace Rodriguez
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0b148eae-85bf-c41d-0c07-c4519bfc2b51