Claim total
$5,042.10
base $155.66 · payer covered $5,042.10
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-05-03
- Stop
- 2022-05-03
The parties
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
032df52f-9699-4603-8f9e-3ec35d254d3b