Claim total
$51,641.19
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-02-28
- Stop
- 2018-02-28
The parties
- Patient
- patient Carlyn Donita Ortiz
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
00e3929f-91f8-0715-e474-e2c5b0542c39