Claim total
$13,840.12
base $127.17 · payer covered $11,072.10
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2011-10-25
- Stop
- 2011-10-27
The parties
- Patient
- patient Giovanni Riley Hilll
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
1e5a5554-7082-bc61-3f10-208683a744a8