Claim total
$36,425.83
base $155.66 · payer covered $28,940.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-01-22
- Stop
- 2026-01-22
The parties
- Patient
- patient Celeste Asha Weimann
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Anthem
Record id
289c69a4-077d-4dc6-c6f3-bc3a37740b11