Claim total
$35,218.05
base $155.66 · payer covered $35,168.05
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-02-04
- Stop
- 2019-02-04
The parties
- Patient
- patient Chandra Price
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
178d2332-aca9-7b53-9052-8311d2d88bd2