Claim total
$36,539.94
base $155.66 · payer covered $29,045.55
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1990-04-30
- Stop
- 1990-04-30
The parties
- Patient
- patient Jeanmarie Jann Bogisich
- Provider
- provider Harold Hagenes
- Payer
- payer Medicare
Record id
17e1c4cb-44e4-7484-5435-cf26dec5ed25