Claim total
$36,308.89
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1999-08-24
- Stop
- 1999-08-25
The parties
- Patient
- patient Jan Cliff Johnson
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
085b5e58-fc26-ce3b-047e-5f0858282c54