Claim total
$33,645.86
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-26
- Stop
- 2020-06-26
The parties
- Patient
- patient Tula Kling
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
383ff4f1-a088-f43e-699b-259c12413e14