Claim total
$17,498.21
base $127.17 · payer covered $13,998.57
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2000-09-28
- Stop
- 2000-09-29
The parties
- Patient
- patient Lenard Sherwood Marvin
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
17c8cd6c-6949-5e5b-a6c9-2aed682523ca