Claim total
$48,164.19
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-02
- Stop
- 2022-09-02
The parties
- Patient
- patient Shanda Miyoko Cassin
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer No insurance
Record id
2fe31e20-d066-3ec8-e9c5-ef90ac1be225