Claim total
$43,758.75
base $155.66 · payer covered $43,708.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1948-08-17
- Stop
- 1948-08-17
The parties
- Patient
- patient Toshiko Sybil King
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
106257f3-21d9-7a09-711b-d44638a4ba5b