Claim total
$3,627.57
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 1957-10-09
- Stop
- 1957-10-10
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Ross Stehr
- Payer
- payer No insurance
Record id
059a4886-0567-3ca6-ad54-ad7837b75cb9