Claim total
$46,305.59
base $155.66 · payer covered $46,155.59
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-04-05
- Stop
- 2017-04-05
The parties
- Patient
- patient Sherrie McLaughlin
- Provider
- provider Belkis Blick
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
3ac05078-eaa5-56d0-9722-4fff51e2e714