Claim total
$42,510.24
base $155.66 · payer covered $42,460.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-01
- Stop
- 2017-01-01
The parties
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
32e00f15-89ac-2f36-0a6e-78b2c48601c0