Claim total
$12,894.85
base $127.17 · payer covered $12,844.85
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2025-07-03
- Stop
- 2025-07-04
The parties
- Patient
- patient Magali Letty Pouros
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0ed551f1-148d-ca02-3909-21994b14caa9