Claim total
$2,152.05
base $127.17 · payer covered $2,102.05
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2006-05-18
- Stop
- 2006-05-20
The parties
- Patient
- patient Benedict Alvin Armstrong
- Provider
- provider Trinity Mraz
- Payer
- payer Medicaid
Record id
2c61caa8-0470-e3a1-6207-f2765a1df576