Claim total
$5,558.52
base $155.66 · payer covered $4,446.82
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2020-04-20
- Stop
- 2020-04-20
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-6d60-91272ac8f91f