Claim total
$75,872.88
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1973-04-16
- Stop
- 1973-04-17
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0302711f-bc3a-898e-a4a9-bfd77275c54e