Claim total
$36,679.29
base $155.66 · payer covered $36,644.29
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-24
- Stop
- 2021-01-24
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-dd7b-2d39367423b6