Claim total
$13,242.26
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1985-05-25
- Stop
- 1985-05-26
The parties
- Patient
- patient Alphonse Ricky Bernhard
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
2e3c3108-70f2-7f33-9f53-2dece092aed3