Claim total
$2,152.05
base $127.17 · payer covered $2,152.05
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2007-02-24
- Stop
- 2007-02-26
The parties
- Patient
- patient Lupe Isaiah Goyette
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
0a09c8b4-1b33-f971-48f2-6c5f5ed43f17