Claim total
$5,639.43
base $127.17 · payer covered $3,798.71
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2008-12-11
- Stop
- 2008-12-12
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-e0f4-f05cac863d70