Claim total
$39,096.04
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-05-12
- Stop
- 2026-05-12
The parties
- Patient
- patient Camellia Balistreri
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
0a7ebdbd-4c3a-07d2-cc09-31e845eccd06