Claim total
$9,835.81
base $127.17 · payer covered $9,785.81
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2004-05-23
- Stop
- 2004-05-24
The parties
- Patient
- patient Aron Jon Steuber
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0e80cbd8-3263-7fa4-630b-0d8af4d43a17