Claim total
$37,771.20
base $155.66 · payer covered $30,216.95
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-12-19
- Stop
- 2017-12-19
The parties
- Patient
- patient Jessia Rowena Runolfsson
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
27da6220-a2b1-e438-fd9b-8ae38768de27