Claim total
$5,347.74
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-12-18
- Stop
- 2017-12-18
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-95ca-4702165e2a50