Claim total
$5,631.34
base $127.17 · payer covered $2,099.46
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2025-07-15
- Stop
- 2025-07-16
The parties
- Patient
- patient Irish Milagros Bergnaum
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0fed2443-9479-996b-9e20-730f3416447d