Claim total
$47,985.50
base $155.66 · payer covered $33,589.84
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-10-21
- Stop
- 2022-10-21
The parties
- Patient
- patient Carla María Luisa León
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
1d508144-53cb-4866-2c52-a1a997451276