Claim total
$36,278.45
base $155.66 · payer covered $36,243.45
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-30
- Stop
- 2017-01-30
The parties
- Patient
- patient Joye Rebecka Rutherford
- Provider
- provider Penni Kuphal
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
3664ee73-1dd3-5502-af24-abb8ca243e95