Claim total
$34,285.30
base $155.66 · payer covered $34,235.30
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-03-31
- Stop
- 2024-03-31
The parties
- Patient
- patient Chelsea Lillie Connelly
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
15e4e886-ae0d-3af0-9189-fd7fb757f21a