Claim total
$32,461.75
base $155.66 · payer covered $32,411.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-12-03
- Stop
- 2018-12-03
The parties
- Patient
- patient Lashon Ara Stiedemann
- Provider
- provider Silvana Weber
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
2a7bc9cf-4171-efe5-aaaf-88ddcc4d3198