Claim total
$182.88
base $127.17 · payer covered $32.88
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1959-03-28
- Stop
- 1959-03-29
The parties
- Patient
- patient Irving Steve Legros
- Provider
- provider Mira Denesik
- Payer
- payer Medicaid
Record id
02796652-7893-0df9-89b8-273a0454db03