Claim total
$3,627.57
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 1982-12-08
- Stop
- 1982-12-09
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0277738c-b3e3-4ada-d176-4352fa4b81a7