Claim total
$4,814.07
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-12-20
- Stop
- 2023-12-21
The parties
- Patient
- patient Wei Leoma Bartoletti
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
244d6b00-ebfa-1c46-a53c-c13af72b7223