Claim total
$35,304.14
base $155.66 · payer covered $19,040.15
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1994-07-30
- Stop
- 1994-07-30
The parties
- Patient
- patient Stormy Tanja Feil
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
2907e9e9-4194-49c9-eeee-171c90378d15