Claim total
$33,593.88
base $155.66 · payer covered $20,365.73
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-01
- Stop
- 2017-02-01
The parties
- Patient
- patient Santos Sulema Boyer
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
2474a716-f77f-8720-c6b4-32f67fe4d3bc