Claim total
$3,227.77
base $127.17 · payer covered $3,227.77
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2008-01-05
- Stop
- 2008-01-09
The parties
- Patient
- patient Errol Delmar Lockman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
09a2ab02-bbcf-9b47-f681-17a39419d2ab