Claim total
$12,935.82
base $127.17 · payer covered $12,885.82
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2004-02-08
- Stop
- 2004-02-09
The parties
- Patient
- patient Dwain Ruecker
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0887d860-7552-81d7-74bb-c8c919493aa4