Claim total
$39,389.58
base $155.66 · payer covered $39,354.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-11-30
- Stop
- 2019-11-30
The parties
- Patient
- patient Demetrius Kellye Brown
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
34d00a16-aef5-c007-96ae-d52bb999eecd