Claim total
$127.23
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2025-12-18
- Stop
- 2025-12-19
The parties
- Patient
- patient Kaycee Luanne Mohr
- Provider
- provider Stanford Rogahn
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
03ac889d-2da8-a492-e250-a9cdc2efca56