Claim total
$5,379.21
base $127.17 · payer covered $5,344.21
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2016-07-25
- Stop
- 2016-08-03
The parties
- Patient
- patient Darron Luigi Kuhlman
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
2ca6daed-ad8b-5612-6018-504483d8f3e2