Claim total
$44,808.66
base $155.66 · payer covered $31,366.06
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-08-11
- Stop
- 2018-08-11
The parties
- Patient
- patient Roselee Katharina Brown
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
355d5f82-4db9-11d6-34fa-0a53b4262368