Claim total
$16,164.73
base $155.66 · payer covered $16,114.73
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-06-09
- Stop
- 2026-06-09
The parties
- Patient
- patient Annamarie Mollie Hoppe
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
0555f11c-c453-57eb-f5af-0b98d9f3f14a