Claim total
$5,163.94
base $76.30 · payer covered $5,091.11
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Appendicitis74400008
- Start
- 2011-11-02
- Stop
- 2011-11-07
The parties
- Patient
- patient Belva Nadene Kuphal
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0430ce7c-cb64-da75-7ee1-415431a81729