Claim total
$4,358.65
base $127.17 · payer covered $4,308.65
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2023-12-14
- Stop
- 2023-12-15
The parties
- Patient
- patient Caterina Shayna Sauer
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
39bb677e-ea1c-358c-ac33-a7be44cd869d