Claim total
$37,581.24
base $155.66 · payer covered $37,581.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-02-21
- Stop
- 2021-02-21
The parties
- Patient
- patient Trudy Olene Boyle
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
224e317b-5fe3-18df-d6ca-3d99ddfdd5cf