Claim total
$41,573.22
base $155.66 · payer covered $41,523.22
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-05-06
- Stop
- 2018-05-06
The parties
- Patient
- patient Tisa Joya Stoltenberg
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2debd169-2d62-f488-fff6-38288c99968c