Claim total
$5,795.99
base $127.17 · payer covered $3,977.86
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-08-28
- Stop
- 2023-08-29
The parties
- Patient
- patient Charlyn Gaylord
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
06497b58-bf50-66ab-a63c-d829eaac3fca