Claim total
$44,984.05
base $155.66 · payer covered $44,934.05
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-02-16
- Stop
- 2024-02-16
The parties
- Patient
- patient Dung Roberta Murazik
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
0b232c0c-cf3d-90c4-1831-7f8acdc32d95