Claim total
$10,937.21
base $155.66 · payer covered $10,937.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-12-04
- Stop
- 2022-12-04
The parties
- Provider
- provider Leila Thiel
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-7aa0-af80f0a00c02