Claim total
$18,741.82
base $155.66 · payer covered $18,706.82
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-04-25
- Stop
- 2020-04-25
The parties
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
021142be-3a32-af72-5b57-30ce958900cb