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
- 1982-05-06
- Stop
- 1982-05-07
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00eec58c-8547-4a29-cc27-e1d43be22684