Claim total
$61,465.09
base $155.66 · payer covered $61,415.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-10-04
- Stop
- 2017-10-04
The parties
- Patient
- patient Mandy Christie Stracke
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
00aca497-ef30-85f4-593b-98969d757460