Claim total
$1,182.56
base $127.17 · payer covered $1,132.56
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 1999-01-19
- Stop
- 1999-01-20
The parties
- Patient
- patient Annamarie Mollie Hoppe
- Provider
- provider Mira Denesik
- Payer
- payer Medicaid
Record id
0555f11c-c453-57eb-e7a1-926928a64522