Claim total
$9,419.00
base $127.17 · payer covered $2,335.18
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2018-09-02
- Stop
- 2018-09-03
The parties
- Patient
- patient Dawne Brett Parker
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
32cc0b83-f353-e71c-4fda-9c9369e049d7