Claim total
$128.29
base $127.17 · payer covered $78.29
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1988-12-31
- Stop
- 1989-01-01
The parties
- Patient
- patient Elbert Rod Lemke
- Provider
- provider Noe Jerde
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
039e51d1-c563-811d-ebcc-268eaf00c3a2