Claim total
$1,361.07
base $127.17 · payer covered $1,326.07
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2022-06-18
- Stop
- 2022-06-19
The parties
- Patient
- patient Ilse Tynisha Feest
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
06d55723-a17e-fb1b-7cac-207647418be9