Claim total
$5,917.07
base $127.17 · payer covered $5,917.07
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1976-08-30
- Stop
- 1976-09-08
The parties
- Patient
- patient Hugo Lucas Valenzuela
- Provider
- provider Janice Huel
- Payer
- payer Humana
Record id
335171b1-99b5-a5ab-a0e8-5327bfb63d84