Claim total
$6,452.35
base $127.17 · payer covered $6,402.35
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2022-06-06
- Stop
- 2022-06-07
The parties
- Patient
- patient Caroyln Aura O'Keefe
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1b6bd1af-c430-b2c8-0a3f-fc11afa3dbbc