Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Inpatient
- Code
- 308251003
- Reason
- diagnosis concept Leukemia, disease93143009
- Start
- 2014-04-06
- Stop
- 2014-04-09
The parties
- Patient
- patient Orlando Reinaldo Cronin
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
016cc543-ba51-79f8-f94d-7869ce85a7f6