Claim total
$8,124.32
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 1983-04-12
- Stop
- 1983-04-13
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
00faac37-85e6-9663-abe4-f485c1526a23