Claim total
$47,384.95
base $155.66 · payer covered $32,738.13
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-09-29
- Stop
- 2018-09-29
The parties
- Patient
- patient Cierra Lucy Dietrich
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
1ef7ea10-bba3-6ea9-9837-f6c59561716d