Claim total
$37,049.03
base $155.66 · payer covered $29,639.23
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-02-13
- Stop
- 2019-02-13
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-dae3-61bcfbf9cf31