Claim total
$3,627.57
base $127.17 · payer covered $430.37
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2022-07-24
- Stop
- 2022-07-25
The parties
- Patient
- patient Zella Astrid Lehner
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
105f6429-e0e9-3b7c-3673-7329a5805103