Claim total
$5,073.07
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2006-09-30
- Stop
- 2006-10-01
The parties
- Patient
- patient Cristy Exie Pouros
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
034e20ab-aae7-ddf8-c14a-865ed248e34c