Claim total
$4,303.49
base $127.17 · payer covered $3,442.74
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2011-10-16
- Stop
- 2011-10-22
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
058279b6-7701-4823-8269-fcb9d538e2d1