Claim total
$38,816.10
base $155.66 · payer covered $38,766.10
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-03
- Stop
- 2023-04-03
The parties
- Patient
- patient Thu Sunni Funk
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
32486fb2-66f7-813c-9258-7ea9d6bc179b