Claim total
$4,211.26
base $127.17 · payer covered $1,256.47
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2016-05-22
- Stop
- 2016-05-23
The parties
- Patient
- patient Carolee Shenna Franecki
- Provider
- provider Silas Conn
Record id
05da998f-3dd0-aeca-2b8a-055c5b1b1d2a