Claim total
$20,426.84
base $76.30 · payer covered $20,376.84
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Appendicitis74400008
- Start
- 2013-10-28
- Stop
- 2013-11-02
The parties
- Patient
- patient Terrance Raymon Kuhic
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
03e733d5-721a-3740-e59f-c93974e922d4