Claim total
$1,749.97
base $127.17 · payer covered $1,699.97
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2026-08-09
- Stop
- 2026-08-10
The parties
- Patient
- patient Terrance Raymon Kuhic
- Provider
- provider Stanford Rogahn
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
03e733d5-721a-3740-31a1-b05b6d84e99c