Claim total
$2,034.89
base $155.66 · payer covered $1,220.94
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 1990-06-16
- Stop
- 1990-06-16
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-aada-84b7ca0697c2