Claim total
$4,841.35
base $127.17 · payer covered $4,791.35
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1993-02-02
- Stop
- 1993-02-09
The parties
- Patient
- patient Neil David Terry
- Provider
- provider Andria Spinka
- Payer
- payer Medicaid
Record id
218a5e43-1a99-ea3e-7112-02bc6e92d5e6