Claim total
$45,668.08
base $155.66 · payer covered $31,967.65
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-09-21
- Stop
- 2019-09-21
The parties
- Patient
- patient Cierra Lucy Dietrich
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
1ef7ea10-bba3-6ea9-e749-bdc939fcdf7f