Claim total
$90,106.67
base $127.17 · payer covered $90,071.67
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2026-05-07
- Stop
- 2026-05-08
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-e7a8-0968cfa2bf02