Claim total
$51,526.52
base $155.66 · payer covered $51,476.52
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-12-02
- Stop
- 2017-12-02
The parties
- Patient
- patient Marsha Rachele Windler
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
2437c666-7cb5-3578-b0fd-e23c63c35ee1