Claim total
$4,841.35
base $127.17 · payer covered $3,873.02
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2010-04-14
- Stop
- 2010-04-22
The parties
- Patient
- patient Elisha Sergio Champlin
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
0ae894da-e84d-0c09-51bd-96098ca61314