Claim total
$36,038.63
base $155.66 · payer covered $35,988.63
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-05-01
- Stop
- 2019-05-01
The parties
- Patient
- patient Elayne Raynor
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
13979d01-bb1a-baed-a34f-49cb5e99ddf0