Claim total
$26,565.39
base $127.17 · payer covered $26,530.39
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2010-03-17
- Stop
- 2010-03-18
The parties
- Patient
- patient Bill Antonio Gleason
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
29eef510-cf92-084f-b915-a1898518081e