Claim total
$11,211.63
base $127.17 · payer covered $11,161.63
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2020-06-06
- Stop
- 2020-06-07
The parties
- Patient
- patient Sandee Carma Bayer
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
36c2ae21-205d-6aeb-6e7a-5f93a82efcd8