Claim total
$3,627.57
base $127.17 · payer covered $1,085.58
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2012-09-08
- Stop
- 2012-09-09
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0190d3b1-c50c-bf7b-1585-2e8d7496f3c9