Claim total
$9,488.32
base $127.17 · payer covered $9,338.32
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2021-09-10
- Stop
- 2021-09-11
The parties
- Patient
- patient Elfreda Lonna Reichert
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
179f37af-fa81-07e9-e277-3aa19d70ebcd