Claim total
$35,091.17
base $155.66 · payer covered $35,091.17
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-04-30
- Stop
- 2018-04-30
The parties
- Patient
- patient Leonor Raina Watsica
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
2e0dfd0f-820d-64e7-a03e-d8f209e88709