Claim total
$188.34
base $127.17 · payer covered $38.34
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2022-11-19
- Stop
- 2022-11-20
The parties
- Provider
- provider Sheena Farrell
- Payer
- payer Medicaid
Record id
03d1ce86-efe3-018d-da70-44b6ac108605