Claim total
$42,612.97
base $155.66 · payer covered $42,562.97
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-11-01
- Stop
- 2016-11-01
The parties
- Patient
- patient Chi Yesenia Sanford
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
33c6a998-1b9c-bb04-13bb-5c23bb2a1c03