Claim total
$10,391.37
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-08-23
- Stop
- 2024-08-23
The parties
- Patient
- patient Carolynn Gabriele Zemlak
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
032e4024-8595-f612-7ced-0b0d6b65c5b9