Claim total
$41,834.41
base $155.66 · payer covered $21,444.26
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-11-06
- Stop
- 2021-11-06
The parties
- Provider
- provider Belkis Blick
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
12af21a2-f0a0-4eb0-42d4-cff5db8868a6