Claim total
$42,315.22
base $155.66 · payer covered $29,620.66
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-08
- Stop
- 2020-06-08
The parties
- Patient
- patient Erika Noriko Auer
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
0e32386c-c04d-ce35-5e11-ff9aedac9faf