Claim total
$9,835.81
base $127.17 · payer covered $9,835.81
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2020-06-07
- Stop
- 2020-06-08
The parties
- Patient
- patient Williams Mauricio Boehm
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
28bac566-789e-d07d-0393-60fc2f2fd333