Claim total
$34,414.43
base $155.66 · payer covered $26,365.14
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-02-14
- Stop
- 2018-02-14
The parties
- Patient
- patient Rosaria Samira Weimann
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
29d74600-ef86-2063-b036-0f8ddb3abf3d