Claim total
$12,894.85
base $127.17 · payer covered $12,859.85
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2025-11-02
- Stop
- 2025-11-03
The parties
- Patient
- patient Tisa Joya Stoltenberg
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
2debd169-2d62-f488-08af-fdbe79747baa