Claim total
$8,796.14
base $155.66 · payer covered $8,746.14
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-19
- Stop
- 2023-04-19
The parties
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
00efc86d-40fa-9fdc-9c21-9c86ba0bcbf5