Claim total
$48,786.00
base $155.66 · payer covered $48,736.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-05-13
- Stop
- 2021-05-13
The parties
- Patient
- patient Eulalia O'Hara
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
1efa994e-cd9c-e6f8-4f37-6c212ce8c03e