Claim total
$3,627.57
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2025-01-24
- Stop
- 2025-01-25
The parties
- Patient
- patient Thresa Toy
- Provider
- provider Penni Kuphal
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
17a7350d-afff-c3b5-1139-5334dd1825b6