Claim total
$1,614.19
base $127.17 · payer covered $1,564.19
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2005-12-06
- Stop
- 2005-12-07
The parties
- Patient
- patient Courtney Mike Bechtelar
- Provider
- provider Ardella Abshire
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2b8b8833-7186-2e1e-423b-60f528127aa6