Claim total
$200.30
base $127.17 · payer covered $150.30
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1994-06-15
- Stop
- 1994-06-16
The parties
- Patient
- patient Joe Maximo Kozey
- Provider
- provider Carmine Gulgowski
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0135e6bd-cd4d-6318-730c-246bb30f68b5