Claim total
$3,627.57
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2020-01-30
- Stop
- 2020-01-31
The parties
- Patient
- patient Dominga Sipes
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2d091fb5-4e8b-bc96-f392-ea47d939fee4