Claim total
$33,284.00
base $127.17 · payer covered $33,249.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2014-09-28
- Stop
- 2014-09-29
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-09f9-a432da6403d2