Claim total
$12,541.24
base $155.66 · payer covered $12,491.24
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-26
- Stop
- 2021-01-26
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-d560-b9fb11fc6198