Claim total
$42,100.23
base $155.66 · payer covered $26,320.15
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-10-25
- Stop
- 2018-10-25
The parties
- Patient
- patient Danelle Aundrea Volkman
- Provider
- provider Bethanie Wintheiser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
2597397b-2268-b629-1abb-d2a281fd2428