Claim total
$47,409.43
base $155.66 · payer covered $25,092.32
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-12-05
- Stop
- 2016-12-05
The parties
- Patient
- patient Zofia Shakira Wilkinson
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
20a24b42-e25a-2edc-aa9e-451f80a48a49