Claim total
$2,152.05
base $127.17 · payer covered $1,721.62
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2003-10-29
- Stop
- 2003-10-31
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-756c-9de1d6b67b75