Claim total
$38,268.31
base $155.66 · payer covered $19,304.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-04-03
- Stop
- 2024-04-04
The parties
- Patient
- patient Thresa Toy
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
17a7350d-afff-c3b5-0f29-ceebd299317d