Claim total
$34,902.18
base $155.66 · payer covered $26,755.36
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-10
- Stop
- 2017-01-10
The parties
- Patient
- patient Beula Barrows
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
368b436b-071f-f268-ca6a-a55aba72d031