Claim total
$3,627.57
base $127.17 · payer covered $319.96
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2021-02-14
- Stop
- 2021-02-15
The parties
- Patient
- patient Frieda Myrle Cartwright
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0f642ea1-aedc-2a2b-092d-32a4eec8ea15