Claim total
$42,399.15
base $155.66 · payer covered $42,249.15
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-07-16
- Stop
- 2025-07-16
The parties
- Patient
- patient Treasa Ankunding
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
25570f50-9eb0-6bc1-44ae-3f1a28d6289c