Claim total
$1,614.19
base $127.17 · payer covered $1,564.19
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1990-11-01
- Stop
- 1990-11-02
The parties
- Patient
- patient Kirk Jermaine Renner
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
07d0ff26-12eb-835d-d74e-573357e476d4