Claim total
$3,765.63
base $127.17 · payer covered $3,765.63
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2004-08-24
- Stop
- 2004-08-30
The parties
- Patient
- patient Pete Ignacio Feest
- Provider
- provider Floyd Toy
- Payer
- payer UnitedHealthcare
Record id
09b9c891-0bef-2077-2b8d-5bd7093a4052