Claim total
$4,249.70
base $93.39 · payer covered $4,249.70
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-14
- Stop
- 2020-06-14
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
002d4429-df26-5797-bd60-35de081cc0b2