Claim total
$3,828.87
base $127.17 · payer covered $3,778.87
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-05-03
- Stop
- 2023-05-03
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
00efc86d-40fa-9fdc-2acc-552061b90ed1