Claim total
$1,775.27
base $127.17 · payer covered $1,725.27
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-11-14
- Stop
- 2016-11-14
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-517e-e50f232d4481