Claim total
$34,916.11
base $155.66 · payer covered $34,866.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-11-28
- Stop
- 2022-11-28
The parties
- Patient
- patient Kandra Debroah Thiel
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
25c733b1-fb13-5def-e53e-82641552b1b6