Claim total
$43,530.54
base $155.66 · payer covered $27,718.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-11-12
- Stop
- 2022-11-12
The parties
- Patient
- patient Cierra Lucy Dietrich
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
1ef7ea10-bba3-6ea9-cd4d-cc94abd1c884