Claim total
$17,406.14
base $155.66 · payer covered $17,356.14
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-11-07
- Stop
- 2016-11-07
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-8b70-1888cc14b16d