Claim total
$37,310.62
base $155.66 · payer covered $37,260.62
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-19
- Stop
- 2022-04-19
The parties
- Patient
- patient Maura Hulda Reynolds
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2b723be6-6f3a-adda-fb75-5f306aec0451