Claim total
$44,755.37
base $155.66 · payer covered $44,705.37
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-26
- Stop
- 2022-04-26
The parties
- Patient
- patient Oda Charlene Greenholt
- Provider
- provider Penni Kuphal
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
09bd4fa1-2020-852b-909a-d28790a831bb