Claim total
$4,962.82
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 1977-09-25
- Stop
- 1977-09-26
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Floyd Toy
- Payer
- payer No insurance
Record id
04f07ca4-67b1-b65a-e323-972059d11c20