Claim total
$9,787.23
base $127.17 · payer covered $9,787.23
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2016-09-14
- Stop
- 2016-09-15
The parties
- Patient
- patient Marquerite Nelia Hintz
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
1fa2738d-d2ce-221d-1db3-f975da4fcb90