Claim total
$28,005.88
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2002-11-13
- Stop
- 2002-11-14
The parties
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0366d403-b006-0b76-2191-0ac6e7e07680