Claim total
$10,185.42
base $127.17 · payer covered $10,135.42
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2009-07-25
- Stop
- 2009-07-26
The parties
- Patient
- patient Marcelo Roland Daniel
- Provider
- provider Riley Walter
- Payer
- payer Medicaid
Record id
172af60a-c1b7-eaec-6251-c73204d9b788