Claim total
$37,618.23
base $155.66 · payer covered $37,568.23
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-11-06
- Stop
- 2025-11-06
The parties
- Patient
- patient Concha Regan Kertzmann
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
08283bfc-d154-42bb-72c7-09d91c0c81ee