Claim total
$3,627.57
base $127.17 · payer covered $2,859.59
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-09-05
- Stop
- 2023-09-06
The parties
- Patient
- patient Herminia Evelyn Tillman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
10e50578-2bab-6f42-3383-66fe14f37441