Claim total
$35,155.09
base $155.66 · payer covered $21,093.06
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-11-20
- Stop
- 2017-11-20
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-8b3b-9303864364f2