Claim total
$56,876.73
base $155.66 · payer covered $56,841.73
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-12-18
- Stop
- 2016-12-18
The parties
- Patient
- patient Tisa Joya Stoltenberg
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
2debd169-2d62-f488-d726-b9eed3727b67