Claim total
$1,361.07
base $127.17 · payer covered $1,088.86
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2002-01-07
- Stop
- 2002-01-08
The parties
- Patient
- patient Raylene Edris Parisian
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
298344b3-dd31-0e7f-6de0-6fd2b5fafe5d