Claim total
$5,847.25
base $127.17 · payer covered $779.08
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2007-12-12
- Stop
- 2007-12-13
The parties
- Patient
- patient Agnus Jaskolski
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
00bd0ed6-396a-5390-d02e-81768f90e71e