Claim total
$4,470.86
base $127.17 · payer covered $376.47
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2017-04-10
- Stop
- 2017-04-11
The parties
- Patient
- patient Juana Alaina Schinner
- Provider
- provider Irmgard Padberg
- Payer
- payer Cigna Health
Record id
296a6505-d5a9-51c2-e35b-33de5a90e486