Claim total
$3,627.57
base $127.17 · payer covered $1,301.17
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-10-20
- Stop
- 2023-10-21
The parties
- Patient
- patient Harriett Diane Bruen
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0d29cff3-fcf0-18ce-7a8c-7d295d2bd777