Claim total
$41,941.01
base $155.66 · payer covered $27,893.84
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-01-02
- Stop
- 2020-01-03
The parties
- Patient
- patient Reta Thora Bogan
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
2f14578f-142e-120d-c11a-b838f1ea99bf