Claim total
$44,289.64
base $155.66 · payer covered $35,431.73
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-12-10
- Stop
- 2021-12-10
The parties
- Patient
- patient Rea Wilderman
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
06d9b168-6ea1-82f4-f792-337e54526038