Claim total
$10,675.16
base $155.66 · payer covered $8,353.73
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-09-08
- Stop
- 2018-09-08
The parties
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
021142be-3a32-af72-2f43-88f78ee4890b