Claim total
$4,217.24
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2025-10-28
- Stop
- 2025-10-29
The parties
- Patient
- patient Natacha Chi Blick
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
3482eb70-2081-c8cb-c2c7-3abbd998a2ac