Claim total
$4,303.49
base $127.17 · payer covered $4,303.49
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2017-09-24
- Stop
- 2017-09-30
The parties
- Patient
- patient Roger Lakin
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
23f088c7-c8f5-3aa8-d088-ca7704b7678f