Claim total
$50,713.33
base $155.66 · payer covered $50,713.33
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-25
- Stop
- 2020-10-25
The parties
- Provider
- provider Belkis Blick
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-7e69-3a9948388667