Claim total
$2,777.09
base $127.17 · payer covered $2,727.09
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-05-23
- Stop
- 2018-05-23
The parties
- Patient
- patient Mandy Christie Stracke
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
00aca497-ef30-85f4-2450-dade6e042a4d