Claim total
$7,083.75
base $155.66 · payer covered $7,083.75
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-10-16
- Stop
- 2016-10-16
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
002d4429-df26-5797-0b01-25d846296b21