Claim total
$38,200.96
base $155.66 · payer covered $24,135.51
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-05
- Stop
- 2024-07-05
The parties
- Patient
- patient Michele Thomasena Haley
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
135538e5-9c9b-66de-f7e1-a6a7033f9a44