Claim total
$14,450.99
base $155.66 · payer covered $14,450.99
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-04-09
- Stop
- 2024-04-09
The parties
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
032df52f-9699-4603-a740-39d4ed0f92d3