Claim total
$9,258.24
base $155.66 · payer covered $9,223.24
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-02-29
- Stop
- 2020-02-29
The parties
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
021142be-3a32-af72-ce1b-7ac33a440820