Claim total
$18,305.61
base $127.17 · payer covered $14,644.49
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1992-10-13
- Stop
- 1992-10-14
The parties
- Patient
- patient Jami Helen Wisoky
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
24dd8ac8-6bcb-597c-e0e0-0932830ee0f8