Claim total
$538.47
base $127.17 · payer covered $488.47
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-09-06
- Stop
- 2018-09-06
The parties
- Patient
- patient Johnny Mattie Skiles
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicaid
Record id
01f72a06-0d81-377c-69fc-8575825a5f13