Claim total
$12,894.85
base $127.17 · payer covered $9,677.76
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-12-26
- Stop
- 2023-12-27
The parties
- Patient
- patient Trisha Micha Rutherford
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
16cf6330-3914-e380-c2f9-d3a22941903d