Claim total
$42,843.69
base $155.66 · payer covered $22,600.42
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-11-18
- Stop
- 2016-11-18
The parties
- Patient
- patient Irish Milagros Bergnaum
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0fed2443-9479-996b-2c1d-a577570d9149