Claim total
$38,499.55
base $155.66 · payer covered $20,031.73
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2009-02-07
- Stop
- 2009-02-07
The parties
- Patient
- patient Deann Shawnee Hilll
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
290b32a5-c822-1cc3-d6dc-2564c17c1860