Claim total
$14,473.94
base $127.17 · payer covered $14,438.94
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2023-11-03
- Stop
- 2023-11-05
The parties
- Patient
- patient Olympia Heathcote
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
3577a267-6e0f-9250-d015-e9f23a020146