Claim total
$5,439.79
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2001-10-01
- Stop
- 2001-10-02
The parties
- Patient
- patient Britany Kerrie West
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
02a95708-afbd-de6b-9a2c-fba154f143cc