Claim total
$10,937.21
base $155.66 · payer covered $7,656.05
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-22
- Stop
- 2023-01-22
The parties
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-75f2-a91a197d7fb2