Claim total
$15,257.63
base $155.66 · payer covered $15,257.63
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-29
- Stop
- 2017-01-29
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-e797-f9c2f9fc1803