Claim total
$42,393.63
base $155.66 · payer covered $33,914.92
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-03-07
- Stop
- 2022-03-07
The parties
- Patient
- patient Sheba Carlee Hudson
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Anthem
Record id
06ae8d17-3a43-a5a8-781f-c55abe0789fc