Claim total
$13,594.17
base $155.66 · payer covered $13,594.17
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-05-31
- Stop
- 2022-05-31
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
032df52f-9699-4603-95bf-3e7aaaa2f014