Claim total
$10,491.70
base $127.17 · payer covered $7,680.53
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2026-03-09
- Stop
- 2026-03-10
The parties
- Patient
- patient Lecia Ivana Jerde
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
3301d0d7-3d54-d3c6-f6f2-b8d0e39711ab