Claim total
$2,689.91
base $127.17 · payer covered $2,151.90
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2020-04-11
- Stop
- 2020-04-14
The parties
- Patient
- patient Synthia Grady
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
33ff0b1a-8ac4-7085-8b8a-c8ac6225f5c2