Claim total
$7,170.11
base $155.66 · payer covered $7,170.11
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-09-19
- Stop
- 2021-09-19
The parties
- Provider
- provider Leila Thiel
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-852c-743e6ce54ab0