Claim total
$10,219.95
base $127.17 · payer covered $8,175.82
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2016-01-14
- Stop
- 2016-01-31
The parties
- Patient
- patient Yvonne Ondricka
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2651fa10-73ce-522f-4d0f-767e52fe70de