Claim total
$49,663.42
base $155.66 · payer covered $26,926.02
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-08-24
- Stop
- 2017-08-24
The parties
- Patient
- patient Su Vernie Kuhlman
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
22fea05c-650a-321a-d28e-8d10987aecb3