Claim total
$12,342.90
base $155.66 · payer covered $12,292.90
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-09-06
- Stop
- 2026-09-06
The parties
- Patient
- patient Margo Green
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
029fe5e1-f60c-f237-9f7b-edf535023992