Claim total
$1,614.19
base $127.17 · payer covered $1,291.34
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1992-05-24
- Stop
- 1992-05-25
The parties
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
20c013b0-a520-1f62-16cf-f6ea631252c9