Claim total
$127.53
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2018-06-18
- Stop
- 2018-06-19
The parties
- Patient
- patient Leif Darren West
- Provider
- provider Corinne Kuphal
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
04bc601b-5b17-3710-6b52-04a5cfd0d548