Claim total
$41,425.12
base $155.66 · payer covered $31,973.69
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-05-30
- Stop
- 2025-05-30
The parties
- Patient
- patient Briana Doretta Schoen
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
3813a15c-3878-6317-c4c2-5e521c52f65b