Claim total
$40,586.63
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-06-07
- Stop
- 2018-06-07
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-f808-376a-534c489a6b13