Claim total
$40,374.66
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-22
- Stop
- 2021-07-22
The parties
- Patient
- patient Malvina Deanne Jacobi
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0f81015e-ddeb-f808-22b9-2ae6af6ac1e9