Claim total
$9,903.76
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 1946-03-07
- Stop
- 1946-03-08
The parties
- Patient
- patient Page Jesica Batz
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1d6d5362-a15b-f65e-e680-18726f2e29e0