Claim total
$33,522.53
base $155.66 · payer covered $33,472.53
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-12-15
- Stop
- 2023-12-15
The parties
- Patient
- patient Debbi Steven McLaughlin
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
358791ea-ef95-e7ec-f758-e9c6a5324532