Claim total
$2,152.05
base $127.17 · payer covered $1,721.62
The visit
- Class
- Inpatient
- Code
- 305432006
- Reason
- diagnosis concept Awaiting transplantation of kidney698306007
- Start
- 2021-07-31
- Stop
- 2021-08-02
The parties
- Patient
- patient Kazuko Tamie Tillman
- Provider
- provider Ozella Goodwin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
3487d097-833b-5fcf-5293-85ffc2521ed2