Claim total
$2,887.66
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-02-21
- Stop
- 2025-02-21
The parties
- Patient
- patient Carolynn Gabriele Zemlak
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer No insurance
Record id
032e4024-8595-f612-6603-39800d3b4e26