Claim total
$978.26
base $155.66 · payer covered $928.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Tubal pregnancy79586000
- Start
- 1962-09-21
- Stop
- 1962-09-21
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Minh Thiel
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00eec58c-8547-4a29-f1b6-6e44acc76c1f