Claim total
$27,305.84
base $155.66 · payer covered $27,255.84
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-01
- Stop
- 2024-07-01
The parties
- Patient
- patient Lashon Ara Stiedemann
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
2a7bc9cf-4171-efe5-4d95-476e91906e27