Claim total
$7,355.52
base $127.17 · payer covered $7,305.52
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2021-03-30
- Stop
- 2021-03-31
The parties
- Patient
- patient Leta Larisa Anderson
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
1bc8e578-1607-f4cd-96db-687c4de9f1b6