Claim total
$3,227.77
base $127.17 · payer covered $3,192.77
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2021-03-12
- Stop
- 2021-03-16
The parties
- Patient
- patient Judy Yundt
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
28694091-a035-e362-2371-e0914a497217