Claim total
$43,541.80
base $155.66 · payer covered $43,491.80
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-04
- Stop
- 2022-08-04
The parties
- Patient
- patient Nenita Rempel
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
2c74a427-4c12-fc10-97a7-4ad8ef5183ef