Claim total
$600.16
base $127.17 · payer covered $550.16
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2023-05-20
- Stop
- 2023-05-21
The parties
- Patient
- patient Fermin Jamison Rolfson
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
07833d62-1d3a-a411-c199-4473d0b49c83