Claim total
$3,627.57
base $127.17 · payer covered $2,891.81
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2021-02-20
- Stop
- 2021-02-21
The parties
- Patient
- patient Renata Dalia Willms
- Provider
- provider Julee Jones
- Payer
- payer Anthem
Record id
1821434e-e956-edc8-ee08-6f56acedee6f