Claim total
$6,782.85
base $155.66 · payer covered $6,747.85
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-03-28
- Stop
- 2020-03-28
The parties
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
021142be-3a32-af72-aea0-1591bb79ec40