Claim total
$1,361.07
base $127.17 · payer covered $1,088.86
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2011-03-18
- Stop
- 2011-03-19
The parties
- Patient
- patient Brooks Fred Jones
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
1b22a3c2-c430-b888-dfcf-467b8557c98a