Claim total
$223.25
base $127.17 · payer covered $173.25
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2001-10-24
- Stop
- 2001-10-25
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Tonette Paucek
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-7a0a-1b35cef7427b