Claim total
$2,689.91
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2011-01-21
- Stop
- 2011-01-25
The parties
- Patient
- patient Guadalupe Andres Mayert
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
1710a38f-72a0-b102-fc9e-a89c9b17ec0e