Claim total
$30,797.70
base $155.66 · payer covered $15,997.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-23
- Stop
- 2020-10-23
The parties
- Patient
- patient Irish Milagros Bergnaum
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0fed2443-9479-996b-9620-d46fda18fc42