Claim total
$5,284.21
base $127.17 · payer covered $5,284.21
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2017-01-17
- Stop
- 2017-01-18
The parties
- Patient
- patient Melda Bella Yundt
- Provider
- provider Floyd Toy
- Payer
- payer Humana
Record id
23edbe70-b3c6-4caf-9b86-29ec0ff7b0e3