Claim total
$218.20
base $127.17 · payer covered $168.20
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1991-10-08
- Stop
- 1991-10-09
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider Merlin Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
019cda32-2557-7f65-959a-a48665e892bf