Claim total
$30,034.24
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-21
- Stop
- 2020-06-21
The parties
- Patient
- patient Marshall Rochel Jacobi
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
38cca9f9-b0e8-26ef-8952-979f961715a6