Claim total
$5,917.07
base $127.17 · payer covered $5,882.07
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2025-05-07
- Stop
- 2025-05-16
The parties
- Patient
- patient Quinton Lueilwitz
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
19beb540-4cdd-68a1-34c7-41089cac000f