Claim total
$46,498.13
base $155.66 · payer covered $46,448.13
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-17
- Stop
- 2017-02-17
The parties
- Patient
- patient Dung Roberta Murazik
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
0b232c0c-cf3d-90c4-7937-5c254b444e1d