Claim total
$45,783.35
base $155.66 · payer covered $29,464.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2008-10-11
- Stop
- 2008-10-11
The parties
- Patient
- patient Luis Tressa Swaniawski
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
25155316-904c-da73-cd90-78d6cc79c889