Claim total
$2,207.59
base $155.66 · payer covered $2,157.59
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 1998-10-14
- Stop
- 1998-10-14
The parties
- Patient
- patient Cathryn Kandy Smith
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
038ad96a-9908-2f0d-7290-a60964e37a56