Claim total
$10,937.21
base $155.66 · payer covered $10,887.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-25
- Stop
- 2023-01-25
The parties
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
00efc86d-40fa-9fdc-b62c-d5ceb0c401fd