Claim total
$17,756.05
base $155.66 · payer covered $12,429.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-09-07
- Stop
- 2020-09-07
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
006af299-d813-2b4f-f371-a071bbb3b21d