Claim total
$2,152.05
base $127.17 · payer covered $2,102.05
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 1994-12-13
- Stop
- 1994-12-15
The parties
- Patient
- patient Vito Nolan Bruen
- Provider
- provider Lazaro Schumm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
280b537b-944a-b81c-763a-4bc35b6f4aef