Claim total
$41,094.79
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-05-31
- Stop
- 2019-05-31
The parties
- Patient
- patient Adriane Wisoky
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
27d0f401-6bb7-78d2-ccff-b8456123e52d