Claim total
$15,085.23
base $127.17 · payer covered $9,051.14
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2014-11-07
- Stop
- 2014-11-09
The parties
- Patient
- patient Ali Darron Greenfelder
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
08ba36d2-4051-3238-a677-120ab99486fe