Claim total
$13,209.03
base $76.30 · payer covered $10,567.22
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Appendicitis74400008
- Start
- 2003-09-01
- Stop
- 2003-09-04
The parties
- Patient
- patient Albert Gaylord Kiehn
- Provider
- provider Ty Cummings
- Payer
- payer Medicare
Record id
03865fba-8cf7-44f6-4a32-8c738a3f0713