Claim total
$10,584.40
base $127.17 · payer covered $10,534.40
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2003-02-27
- Stop
- 2003-02-28
The parties
- Patient
- patient Danielle Frami
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0eed755f-204b-92be-58de-553eea357a61