Claim total
$566.96
base $155.66 · payer covered $516.96
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2021-10-02
- Stop
- 2021-10-02
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-7476-8f32d24aaf58