Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2020-04-05
- Stop
- 2020-04-05
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-efc6-b3ddb6d3a820