Claim total
$37,947.90
base $155.66 · payer covered $26,563.52
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2015-03-15
- Stop
- 2015-03-15
The parties
- Provider
- provider Joshua Dickens
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-b19f-665d5b79eb38