Claim total
$55,566.03
base $155.66 · payer covered $55,566.03
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-25
- Stop
- 2020-10-25
The parties
- Patient
- patient Luis Feest
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
220781f0-a6c5-bfd4-5d07-07457d2615d4