Claim total
$52,758.08
base $155.66 · payer covered $52,758.08
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-07-19
- Stop
- 2026-07-19
The parties
- Patient
- patient Ellis Ava Walter
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
3aaf63ad-d263-2868-09c0-cb2cce94eb49