Claim total
$127.54
base $127.17 · payer covered $77.54
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2026-04-04
- Stop
- 2026-04-05
The parties
- Patient
- patient Gita Pei Mraz
- Provider
- provider Corinne Kuphal
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01d312ef-e970-710c-ba4a-f9815a5ff092