Claim total
$7,137.12
base $127.17 · payer covered $2,453.47
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2022-06-27
- Stop
- 2022-06-28
The parties
- Patient
- patient Myrta Luanne Johnson
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
0903385c-bf8b-2f31-18c8-e659263ff287