Claim total
$33,380.07
base $155.66 · payer covered $33,230.07
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-09-07
- Stop
- 2017-09-07
The parties
- Patient
- patient Lacy Kattie Cartwright
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
10a5a577-972b-49ae-853e-204af8c99c90