Claim total
$9,450.22
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 1967-05-05
- Stop
- 1967-05-06
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
013d575b-4a77-458a-ff2a-7b40910a6572