Claim total
$46,606.47
base $155.66 · payer covered $46,456.47
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-10-29
- Stop
- 2024-10-29
The parties
- Patient
- patient Oda Charlene Greenholt
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
09bd4fa1-2020-852b-2119-b5d7dc404465