Claim total
$3,627.57
base $127.17 · payer covered $3,577.57
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2024-06-11
- Stop
- 2024-06-12
The parties
- Patient
- patient Jannette Hegmann
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
3756471c-1eae-803d-cd14-16d2212bc29f