Claim total
$37,179.48
base $155.66 · payer covered $19,136.77
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1981-03-04
- Stop
- 1981-03-04
The parties
- Patient
- patient Brittany Britta Haag
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
30d4e96f-1367-bb06-f2c9-fdfaa40019ee