Claim total
$348.87
base $127.17 · payer covered $298.87
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2005-11-08
- Stop
- 2005-11-09
The parties
- Patient
- patient Cleo Timothy Kemmer
- Provider
- provider Ryan Greenholt
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
04d0e486-8d5f-7bad-2c7a-61e625e28f2e