Claim total
$9,835.81
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2014-08-28
- Stop
- 2014-08-29
The parties
- Patient
- patient Claud Roland Kutch
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
2807bb3b-10eb-cf70-806f-8edb30553f5e