Claim total
$13,165.90
base $155.66 · payer covered $13,115.90
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-08-02
- Stop
- 2018-08-02
The parties
- Patient
- patient Johnny Mattie Skiles
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
01f72a06-0d81-377c-2e9f-3088dfcf5336