Claim total
$10,185.42
base $127.17 · payer covered $10,135.42
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2018-06-10
- Stop
- 2018-06-12
The parties
- Patient
- patient Adina Jerlene Baumbach
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
13decf1b-6d14-8aef-5758-fbc56b026ab3