Claim total
$35,168.09
base $155.66 · payer covered $35,018.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-12-11
- Stop
- 2017-12-11
The parties
- Patient
- patient Chandra Price
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
178d2332-aca9-7b53-6207-b79c9d883b1d