Claim total
$4,841.35
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1982-01-13
- Stop
- 1982-01-20
The parties
- Patient
- patient Jody Shoshana Powlowski
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
226e0527-4c40-2548-ba74-f219a2726227