Claim total
$35,260.18
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-22
- Stop
- 2023-03-22
The parties
- Patient
- patient Emerald Katie Jerde
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
24d0e6e5-8a87-707b-6202-8bfd11f74a84