Claim total
$41,027.70
base $155.66 · payer covered $40,877.70
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-25
- Stop
- 2021-04-25
The parties
- Patient
- patient Chelsea Lillie Connelly
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
15e4e886-ae0d-3af0-301a-173852dca142