Claim total
$7,530.65
base $127.17 · payer covered $7,480.65
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1998-09-11
- Stop
- 1998-09-24
The parties
- Patient
- patient Efren Wilderman
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0400ef40-232f-be7a-f2f7-f2ce0f41f215