Claim total
$52,159.06
base $155.66 · payer covered $41,727.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2010-09-09
- Stop
- 2010-09-09
The parties
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
24265d23-8649-62b7-08dc-53b832e85fe0