Claim total
$38,107.51
base $155.66 · payer covered $19,548.29
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-17
- Stop
- 2017-02-17
The parties
- Patient
- patient Elke Oda Crona
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
11487152-d64b-d12d-fdc2-50212a462e17