Claim total
$31,942.01
base $155.66 · payer covered $25,553.62
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-02-10
- Stop
- 2025-02-10
The parties
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2c220e10-502c-5092-18b9-c8304757ac9c