Claim total
$9,682.09
base $127.17 · payer covered $9,647.09
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2026-07-29
- Stop
- 2026-08-14
The parties
- Patient
- patient Ricky Michal Wisozk
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
1ed700c5-df9c-e290-efc7-2476fc565cc2