Claim total
$3,627.57
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2017-09-05
- Stop
- 2017-09-06
The parties
- Patient
- patient Ayako Cherilyn Wilkinson
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
3371c9f1-347c-2b4e-f34d-a11d2720e7b1