Claim total
$37,582.40
base $155.66 · payer covered $37,532.40
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-08-18
- Stop
- 2026-08-18
The parties
- Patient
- patient An Wenona Rau
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
04682680-f77d-0a00-acc0-90dd38f134de