Claim total
$22,496.05
base $127.17 · payer covered $13,497.63
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1987-02-14
- Stop
- 1987-02-15
The parties
- Patient
- patient Raye Suzy Gusikowski
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
02c06e54-48b8-2b73-a334-64e36052093b