Claim total
$9,730.10
base $127.17 · payer covered $4,038.55
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2022-06-13
- Stop
- 2022-06-14
The parties
- Patient
- patient Sharie Ginger Jacobson
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
219af15c-aacc-5a33-60ca-82df0d1ded1d