Claim total
$3,627.57
base $127.17 · payer covered $3,627.57
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2009-11-16
- Stop
- 2009-11-17
The parties
- Patient
- patient Nona Samara Gleichner
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
0042ca65-dd9d-7221-7ba6-77f852d49bd9