Claim total
$13,398.81
base $127.17 · payer covered $13,363.81
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1996-11-28
- Stop
- 1996-11-29
The parties
- Patient
- patient Francisco Barton Beahan
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
11955095-c3cb-a03d-fd8d-b3cb6639f9f8