Claim total
$9,877.36
base $127.17 · payer covered $9,877.36
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-02-25
- Stop
- 2023-02-26
The parties
- Patient
- patient Sabine Starr Pacocha
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Cigna Health
Record id
1db13722-5268-669f-3fd2-8b3a6ce5e457