Claim total
$30,117.75
base $155.66 · payer covered $21,082.43
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-22
- Stop
- 2020-07-22
The parties
- Patient
- patient Santos Sulema Boyer
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
2474a716-f77f-8720-0be1-62843a17030a