Claim total
$607.54
base $127.17 · payer covered $486.03
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2018-02-01
- Stop
- 2018-02-02
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Rachelle Borer
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-74ee-308542949448