Claim total
$42,465.79
base $155.66 · payer covered $21,823.08
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-04-13
- Stop
- 2020-04-13
The parties
- Patient
- patient Suzy Alyson Gutmann
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
172e3d48-7ef1-d07b-fdbf-d082cc9a1db8