Claim total
$7,916.76
base $155.66 · payer covered $2,391.73
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-15
- Stop
- 2023-01-15
The parties
- Provider
- provider Leila Thiel
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-15b6-9ef09c46e711