Claim total
$35,442.78
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1960-08-17
- Stop
- 1960-08-17
The parties
- Patient
- patient Latasha Crist
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0fc193c9-8970-9d72-e274-05e39cd6cb27