Claim total
$28,438.09
base $155.66 · payer covered $14,614.97
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-12-30
- Stop
- 2023-12-30
The parties
- Patient
- patient Marx Yundt
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Aetna
Record id
2db0bb26-6b9a-0465-f369-f8c51c4232f8