Claim total
$35,365.38
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-06-29
- Stop
- 2025-06-29
The parties
- Patient
- patient Larry Agatha Streich
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
097b8462-48ec-547b-d8ed-19299c03d55a