Claim total
$6,708.00
base $93.39 · payer covered $4,695.60
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-05-26
- Stop
- 2019-05-26
The parties
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-3bde-ce6e1bb1f520