Claim total
$36,855.55
base $155.66 · payer covered $22,113.35
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2012-12-19
- Stop
- 2012-12-19
The parties
- Patient
- patient Velvet Elease Walter
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
06af16c1-6409-09e5-f02a-c20c986d77ff