Claim total
$11,353.41
base $155.66 · payer covered $6,812.05
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-01-15
- Stop
- 2018-01-15
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-e778-f6b974458431