Claim total
$39,272.91
base $155.66 · payer covered $27,491.04
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-06-13
- Stop
- 2019-06-13
The parties
- Patient
- patient June Christiansen
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
3a698cd1-c3be-fc3a-eb96-a569a0aa7c8d