Claim total
$3,227.77
base $127.17 · payer covered $2,582.18
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2011-09-29
- Stop
- 2011-10-04
The parties
- Patient
- patient Aurelia Maude Goldner
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1ce15169-0046-e0e5-fa60-2047fdd63ebe