Claim total
$2,152.05
base $127.17 · payer covered $1,721.62
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2026-05-10
- Stop
- 2026-05-12
The parties
- Patient
- patient Gino Bennett Legros
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0bb558a9-1710-fe6a-ed3d-6eb818646173