Claim total
$3,627.57
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-08-24
- Stop
- 2023-08-25
The parties
- Patient
- patient Dung Letha Wiegand
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
375938f9-6f2b-c55d-2f5e-3e9c4b0af032