Claim total
$42,215.97
base $155.66 · payer covered $21,673.17
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-11-07
- Stop
- 2020-11-07
The parties
- Patient
- patient Henriette Bambi Mayer
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
2027a6d3-dc36-b4dd-c03f-94ed6fb056f6