Claim total
$3,627.57
base $127.17 · payer covered $2,902.06
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2022-12-22
- Stop
- 2022-12-23
The parties
- Patient
- patient Esther Kuhic
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
31ae0161-174f-fcf1-f915-8560b4ab2670