Claim total
$6,203.58
base $127.17 · payer covered $6,203.58
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2021-06-08
- Stop
- 2021-06-09
The parties
- Patient
- patient Tamara Dorla Weimann
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
3a5e2ef0-e9eb-245d-c960-5e4323a73770