Claim total
$44,751.82
base $155.66 · payer covered $35,801.46
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-05-23
- Stop
- 2017-05-23
The parties
- Patient
- patient Mitsue Alfredia Goyette
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
24be1a78-8125-fb3b-3aaf-2b5138e4ec9a