Claim total
$43,925.85
base $155.66 · payer covered $22,699.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-07
- Stop
- 2020-06-07
The parties
- Patient
- patient Awilda Joana Ebert
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
3424d196-47e2-4a3e-e8f7-b3577c12359a