Claim total
$1,614.19
base $127.17 · payer covered $1,564.19
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1982-09-01
- Stop
- 1982-09-03
The parties
- Patient
- patient Mickey Turner
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
1c58b7aa-3382-6851-422c-497ba20c7baa