Claim total
$56,591.95
base $155.66 · payer covered $44,560.71
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-08-10
- Stop
- 2018-08-10
The parties
- Patient
- patient Athena Scarlet Reynolds
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
37e9fb27-a6fc-de33-9c38-b6c4f4a4e9f1