Claim total
$10,655.69
base $127.17 · payer covered $10,605.69
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2017-09-22
- Stop
- 2017-09-23
The parties
- Patient
- patient Michael Dina Morissette
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1f63e0e2-d573-0aba-f36d-fba4587d6237