Claim total
$4,809.42
base $127.17 · payer covered $216.59
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-12-27
- Stop
- 2023-12-28
The parties
- Patient
- patient Luetta Wehner
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
244398f5-3bec-3a89-d42a-085f3697b24b