Claim total
$45,809.15
base $155.66 · payer covered $23,829.10
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-09-07
- Stop
- 2020-09-07
The parties
- Patient
- patient Zofia Shakira Wilkinson
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
20a24b42-e25a-2edc-fb80-b63851a28cbd