Claim total
$36,658.50
base $127.17 · payer covered $36,608.50
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 1978-09-09
- Stop
- 1978-09-10
The parties
- Patient
- patient Morris Hartmann
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
36a22334-42e4-d3c9-763c-26fb2427c672