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
- 2021-05-06
- Stop
- 2021-05-12
The parties
- Patient
- patient Mikel Edmond Wisoky
- Provider
- provider Hassie Beer
- Payer
- payer Dual Eligible
Record id
2973ea9a-f1cd-e339-2a9b-5c960b38aa83