Claim total
$48,426.92
base $155.66 · payer covered $48,276.92
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-02
- Stop
- 2023-04-02
The parties
- Patient
- patient Beula Robert Kirlin
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
3a749fce-e180-5b8b-67aa-3976e36b10af