Claim total
$4,303.49
base $127.17 · payer covered $4,303.49
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2020-09-27
- Stop
- 2020-10-03
The parties
- Patient
- patient Weldon Normand Rohan
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
07811815-599c-8e38-bac6-49ccf9e3d258