Claim total
$1,361.07
base $127.17 · payer covered $1,311.07
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2016-04-12
- Stop
- 2016-04-13
The parties
- Patient
- patient Brian Feeney
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1de4e9b8-22a7-be84-d534-6cfb2a16a007