Claim total
$9,578.15
base $127.17 · payer covered $9,528.15
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-12-02
- Stop
- 2019-12-02
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-ed98-cdcfa74243bb