Claim total
$36,658.50
base $127.17 · payer covered $36,608.50
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2018-09-18
- Stop
- 2018-09-19
The parties
- Patient
- patient Mikel Edmond Wisoky
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2973ea9a-f1cd-e339-dd5a-b160e16a910f