Claim total
$8,685.96
base $127.17 · payer covered $2,280.03
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2012-06-17
- Stop
- 2012-06-18
The parties
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
24265d23-8649-62b7-4ec7-68d7c1805561