Claim total
$30,040.33
base $155.66 · payer covered $29,890.33
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-10-09
- Stop
- 2017-10-09
The parties
- Patient
- patient Carolee Keith Collins
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1b67e981-d188-cc73-edb2-39a14fe59e3f