Claim total
$46,192.43
base $155.66 · payer covered $36,953.96
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2004-04-04
- Stop
- 2004-04-04
The parties
- Patient
- patient Tynisha Kerri Padberg
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
27af11aa-2603-d62b-2540-ea20daa729e0