Claim total
$8,606.37
base $127.17 · payer covered $8,556.37
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2025-07-13
- Stop
- 2025-07-27
The parties
- Patient
- patient Stacy Herzog
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
070c7867-fbf2-7941-0f3d-4da96780b934