Claim total
$2,689.91
base $127.17 · payer covered $2,654.91
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2011-04-27
- Stop
- 2011-04-30
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-5dc8-94692dc30da0