Claim total
$3,627.57
base $127.17 · payer covered $2,902.06
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2011-08-07
- Stop
- 2011-08-08
The parties
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
02e77898-0a14-d00d-983f-bc53f5b9c312