Claim total
$42,440.37
base $155.66 · payer covered $42,440.37
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-03-01
- Stop
- 2017-03-01
The parties
- Patient
- patient Athena Oberbrunner
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
2133cc41-d2d7-9f54-3303-b2fadd67c6a9