Claim total
$36,747.56
base $155.66 · payer covered $36,697.56
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-02-21
- Stop
- 2020-02-21
The parties
- Patient
- patient Elia Felicia Mueller
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2a6e0e9c-1e79-6845-8d85-32fca04b44a9