Claim total
$12,894.85
base $127.17 · payer covered $12,894.85
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2024-06-20
- Stop
- 2024-06-21
The parties
- Patient
- patient Sommer Lila Goodwin
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
24d76e87-c27b-19c2-d0d9-0fb498676ca3