Claim total
$41,268.71
base $155.66 · payer covered $41,218.71
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-05-11
- Stop
- 2020-05-11
The parties
- Patient
- patient Chandra Price
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
178d2332-aca9-7b53-d17b-854b203bc281