Claim total
$10,831.35
base $127.17 · payer covered $10,781.35
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2011-08-07
- Stop
- 2011-08-08
The parties
- Patient
- patient Elinore Danyelle Streich
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
03b3068a-a726-461a-c7f4-75d5b53a7e09