Claim total
$4,303.49
base $127.17 · payer covered $4,268.49
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2009-04-09
- Stop
- 2009-04-15
The parties
- Patient
- patient Sumiko Bethann Baumbach
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
23c570a1-24f2-7527-a8d0-30cbee84f67c