Claim total
$39,706.58
base $155.66 · payer covered $39,656.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-08-26
- Stop
- 2023-08-26
The parties
- Patient
- patient Patrice Stoltenberg
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
1db80c18-5cf5-3854-9ae2-134408b341ee