Claim total
$2,777.09
base $127.17 · payer covered $2,221.68
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-06-23
- Stop
- 2018-06-23
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-741b-e382fca545a0