Claim total
$46,757.16
base $155.66 · payer covered $32,500.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-31
- Stop
- 2020-10-31
The parties
- Patient
- patient Cierra Lucy Dietrich
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
1ef7ea10-bba3-6ea9-6c5d-af8616c71be9