Claim total
$10,792.31
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2003-09-13
- Stop
- 2003-09-14
The parties
- Patient
- patient Robin Caleb Streich
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
346c87d3-9c90-3e0c-c615-56a071ae485c