Claim total
$29,304.98
base $155.66 · payer covered $29,254.98
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-06-17
- Stop
- 2023-06-17
The parties
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
1aaba084-2c37-dcb3-7ca5-719279c61b09