Claim total
$51,340.89
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-10-23
- Stop
- 2018-10-23
The parties
- Patient
- patient Sherill Ingeborg Wyman
- Provider
- provider Joshua Dickens
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
03eccc4c-a1c4-14ad-a9fd-5f252461512d