Claim total
$33,919.32
base $155.66 · payer covered $33,869.32
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-01-18
- Stop
- 2018-01-18
The parties
- Patient
- patient Johnny Mattie Skiles
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
01f72a06-0d81-377c-1bfe-54b7bc345d24