Claim total
$54,119.45
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-08
- Stop
- 2021-01-08
The parties
- Patient
- patient Shanda Miyoko Cassin
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer No insurance
Record id
2fe31e20-d066-3ec8-e6e0-62a5d6cd4d35