Claim total
$45,238.04
base $155.66 · payer covered $45,238.04
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1997-03-16
- Stop
- 1997-03-16
The parties
- Patient
- patient Tynisha Kerri Padberg
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
27af11aa-2603-d62b-8726-86bafb09cb23