Claim total
$2,777.09
base $127.17 · payer covered $2,742.09
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-25
- Stop
- 2023-03-25
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-6b0e-0ed9ecf144e8