Claim total
$44,062.50
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-10
- Stop
- 2020-06-10
The parties
- Patient
- patient Treasa Ankunding
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
25570f50-9eb0-6bc1-bce5-88000a11857e