Claim total
$38,301.95
base $155.66 · payer covered $20,052.16
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-11-12
- Stop
- 2016-11-12
The parties
- Patient
- patient Dawne Brett Parker
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
32cc0b83-f353-e71c-31bc-96e2d640dea3