Claim total
$43,060.56
base $155.66 · payer covered $30,142.39
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-12-25
- Stop
- 2025-12-25
The parties
- Patient
- patient Selina Lang Harvey
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
32100ffd-85d3-f11c-f433-6901d462c425