Claim total
$6,007.52
base $155.66 · payer covered $6,007.52
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-11
- Stop
- 2022-09-11
The parties
- Provider
- provider Bethanie Wintheiser
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-61d5-1cd5a2cc8424