Claim total
$3,627.57
base $127.17 · payer covered $3,627.57
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2024-08-23
- Stop
- 2024-08-24
The parties
- Patient
- patient Zelda Terrilyn Armstrong
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
Record id
2d102be7-4a6a-7d62-2316-d7bb5b01522a