Claim total
$52,524.33
base $155.66 · payer covered $52,374.33
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-03
- Stop
- 2021-04-03
The parties
- Patient
- patient Marsha Rachele Windler
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
2437c666-7cb5-3578-fe83-308e5ecfe16d