Claim total
$16,561.54
base $127.17 · payer covered $13,249.24
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2015-08-01
- Stop
- 2015-08-03
The parties
- Patient
- patient Kirk Brakus
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
11a862f9-3413-b57d-bc72-31201cc489cc