Claim total
$2,152.05
base $127.17 · payer covered $2,102.05
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2020-04-11
- Stop
- 2020-04-14
The parties
- Patient
- patient Tuan Jarred Volkman
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
148a1791-9b8b-0048-eeb7-52cb6bc11e70