Claim total
$9,263.74
base $155.66 · payer covered $9,228.74
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-01-19
- Stop
- 2023-01-19
The parties
- Patient
- patient Gregory Ethan Harvey
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
06e1cc1c-d3f8-b9cb-436d-f1eee9bdd85e