Claim total
$43,248.15
base $155.66 · payer covered $22,292.47
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1983-04-06
- Stop
- 1983-04-06
The parties
- Patient
- patient Brittany Britta Haag
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
30d4e96f-1367-bb06-3b5f-e4110a1650a5