Claim total
$1,361.07
base $127.17 · payer covered $1,311.07
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-02-13
- Stop
- 2019-02-13
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
00efc86d-40fa-9fdc-c845-51b9a08c6dc6