Claim total
$35,801.40
base $155.66 · payer covered $22,307.84
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-03-12
- Stop
- 2020-03-12
The parties
- Patient
- patient Blanca Antonina Flatley
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
Record id
1624c58c-458a-404a-2045-a36a2ec695ba