Claim total
$6,606.45
base $155.66 · payer covered $6,606.45
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-11-14
- Stop
- 2021-11-14
The parties
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-7a8e-17456aa0b529