Claim total
$3,627.57
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2018-12-12
- Stop
- 2018-12-13
The parties
- Patient
- patient Reyna Nia Legros
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
0783bf83-a77e-df51-c3b7-50fd65e3e7a3