Claim total
$2,039.36
base $127.17 · payer covered $1,989.36
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-17
- Stop
- 2020-06-17
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-f807-f4aebb8b9735