Claim total
$6,784.35
base $155.66 · payer covered $6,784.35
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-06-14
- Stop
- 2022-06-14
The parties
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
032df52f-9699-4603-bf45-208f9ea5ac1d