Claim total
$978.26
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 1959-04-03
- Stop
- 1959-04-03
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0095f26f-6c35-6a9c-0261-24a523bc5ed1