Claim total
$15,642.12
base $155.66 · payer covered $6,069.05
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-05-24
- Stop
- 2020-05-24
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
002d4429-df26-5797-24a3-0df5f221c6de