Claim total
$969.69
base $127.17 · payer covered $969.69
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2024-04-12
- Stop
- 2024-04-13
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Jerrod Roob
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-8383-55e3457d7264