Claim total
$155.66
base $155.66 · payer covered $155.66
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-12-20
- Stop
- 2020-12-20
The parties
- Provider
- provider Joshua Dickens
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-664b-b66bdce6e7f0