Claim total
$35,790.36
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2001-07-12
- Stop
- 2001-07-12
The parties
- Patient
- patient Ciera Sharell Koelpin
- Provider
- provider Jo Stiedemann
- Payer
- payer No insurance
Record id
2addfeac-df52-3556-23bf-2f64cdc12dd3