Claim total
$6,818.88
base $127.17 · payer covered $6,768.88
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2022-11-02
- Stop
- 2022-11-03
The parties
- Patient
- patient Cecilia Carlotta Dare
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
10283845-038a-ac5a-7b7a-886876652239