Claim total
$51,688.83
base $155.66 · payer covered $33,546.72
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2012-01-10
- Stop
- 2012-01-10
The parties
- Patient
- patient Grayce Beier
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
10c7ed62-6c27-ce6a-4149-1d979d893271