Claim total
$5,917.07
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1999-03-11
- Stop
- 1999-03-20
The parties
- Patient
- patient Lon Jenkins
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
21be898a-3bf9-dfe6-963e-64e25d00d4e0