Claim total
$24,869.74
base $127.17 · payer covered $24,834.74
The visit
- Class
- Inpatient
- Code
- 32485007
- Start
- 2023-11-19
- Stop
- 2023-11-20
The parties
- Patient
- patient Julio Leslie Kub
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
380e310b-3f6b-f03c-6455-25d57b8906c3