Claim total
$10,757.81
base $127.17 · payer covered $8,606.10
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2006-01-26
- Stop
- 2006-02-13
The parties
- Patient
- patient Dannie Timmy Koepp
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
25f2b1e8-809d-dfd9-f59e-d21e81e6568b