Claim total
$32,790.71
base $127.17 · payer covered $32,740.71
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2002-02-15
- Stop
- 2002-02-16
The parties
- Patient
- patient Jewel Chi Harris
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05c57aa9-c3e8-2f04-2935-12aa862dddd8