Claim total
$33,259.69
base $155.66 · payer covered $33,109.69
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-09-27
- Stop
- 2019-09-27
The parties
- Patient
- patient Jamee Elenore Wehner
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0fcc090f-1909-c864-ff14-619ac314c120