Claim total
$10,185.42
base $127.17 · payer covered $10,150.42
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2012-04-03
- Stop
- 2012-04-05
The parties
- Patient
- patient Quinton Lueilwitz
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
19beb540-4cdd-68a1-ec67-fd8ce7e7f558