Claim total
$1,614.19
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1990-02-21
- Stop
- 1990-02-23
The parties
- Patient
- patient Lennie Dannette Jerde
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
14e0014e-0650-d844-9365-b2cb307a5d24