Claim total
$37,453.62
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-07-24
- Stop
- 2022-07-24
The parties
- Patient
- patient Marshall Rochel Jacobi
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
38cca9f9-b0e8-26ef-f60c-2ae7e70309da