Claim total
$4,939.27
base $127.17 · payer covered $4,889.27
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2021-10-22
- Stop
- 2021-10-23
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-b203-44f707761d71