Claim total
$46,861.28
base $155.66 · payer covered $24,845.04
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-06-26
- Stop
- 2016-06-26
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
002d4429-df26-5797-623d-1d707eb216ff