Claim total
$10,185.42
base $127.17 · payer covered $6,111.25
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1961-07-04
- Stop
- 1961-07-05
The parties
- Patient
- patient Quinn Maximo Hartmann
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
262dbc34-d670-c004-f3b6-98bb12dd0a5b