Claim total
$23,557.08
base $127.17 · payer covered $18,845.67
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2016-05-21
- Stop
- 2016-05-22
The parties
- Patient
- patient Adrian Lauren McKenzie
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
17f016d2-a88a-bd03-4eb3-f0eebc98f2dd