Claim total
$4,986.12
base $127.17 · payer covered $1,421.94
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2025-03-19
- Stop
- 2025-03-20
The parties
- Patient
- patient Vernetta Suzy Dooley
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
0baf4deb-667c-bea4-2619-f58b2cfe9ed9