Claim total
$36,758.52
base $155.66 · payer covered $36,708.52
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-08-30
- Stop
- 2021-08-30
The parties
- Patient
- patient Jannette Hegmann
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
3756471c-1eae-803d-d322-9fa999f63ca2