Claim total
$39,841.44
base $155.66 · payer covered $39,691.44
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-03-02
- Stop
- 2026-03-02
The parties
- Patient
- patient Arlean Deena Stoltenberg
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
08d65f8d-3561-01de-ddd8-85c5174fc80b