Claim total
$41,078.10
base $155.66 · payer covered $41,028.10
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-22
- Stop
- 2020-07-22
The parties
- Patient
- patient Lanelle Valrie Barton
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2d0d3531-8acb-0cb2-a73e-1ae663b72b9e