Claim total
$34,652.36
base $155.66 · payer covered $34,602.36
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-06
- Stop
- 2024-07-06
The parties
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
1aaba084-2c37-dcb3-fdf4-c5884b9b2457