Claim total
$39,916.98
base $155.66 · payer covered $39,881.98
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-11-17
- Stop
- 2019-11-17
The parties
- Patient
- patient Tisa Joya Stoltenberg
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
2debd169-2d62-f488-b2cc-32968b0ac830