Claim total
$55,042.11
base $155.66 · payer covered $35,379.49
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-02-16
- Stop
- 2022-02-16
The parties
- Patient
- patient Santos Sulema Boyer
- Provider
- provider Penni Kuphal
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
2474a716-f77f-8720-2899-364690e3478c