Claim total
$5,812.58
base $127.17 · payer covered $5,762.58
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2001-08-17
- Stop
- 2001-08-18
The parties
- Patient
- patient Diann Elizebeth Streich
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
26eb2a74-d9e2-b5ea-f337-f5507af717fb