Claim total
$39,857.22
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-10-08
- Stop
- 2019-10-08
The parties
- Patient
- patient Simonne Karol Waters
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer No insurance
Record id
0bf434c4-3a7d-8f3d-e7f7-bbda55424f0f