Claim total
$40,330.55
base $155.66 · payer covered $21,752.10
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-07
- Stop
- 2022-09-07
The parties
- Patient
- patient Chana Jung Kuhlman
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
0b9ae72a-4873-5d31-1697-a1ca4d92c45e