Claim total
$42,601.38
base $155.66 · payer covered $28,033.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-06-22
- Stop
- 2024-06-22
The parties
- Patient
- patient Elmer Haley
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Cigna Health
Record id
2e19198b-992b-c175-8cfb-02c6783d38cf