Claim total
$42,326.00
base $155.66 · payer covered $26,478.20
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-06-23
- Stop
- 2022-06-24
The parties
- Patient
- patient Reta Thora Bogan
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
2f14578f-142e-120d-a3d3-e528fe74d180