Claim total
$49,660.88
base $155.66 · payer covered $49,610.88
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-01-30
- Stop
- 2019-01-30
The parties
- Patient
- patient Lanelle Valrie Barton
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2d0d3531-8acb-0cb2-8b02-95cd51b52ea2