Claim total
$4,841.35
base $127.17 · payer covered $4,841.35
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2017-07-02
- Stop
- 2017-07-09
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-00df-5d2e0e08c08c