Claim total
$40,993.71
base $155.66 · payer covered $32,794.96
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-01
- Stop
- 2023-04-01
The parties
- Patient
- patient Marceline Louvenia Weber
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
0c2cb31c-70e9-30a2-9a40-a991a50f7db8