Claim total
$10,842.61
base $127.17 · payer covered $10,842.61
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1985-10-04
- Stop
- 1985-10-05
The parties
- Patient
- patient Alan Danny White
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0d37fa46-9809-7e01-07d6-78d9cefe45c8