Claim total
$34,177.35
base $155.66 · payer covered $34,177.35
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2002-05-12
- Stop
- 2002-05-12
The parties
- Patient
- patient Tynisha Kerri Padberg
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
27af11aa-2603-d62b-a8da-a78b5cdf3b9d