Claim total
$538.47
base $127.17 · payer covered $388.47
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-06-11
- Stop
- 2019-06-11
The parties
- Patient
- patient Sherill Ingeborg Wyman
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
03eccc4c-a1c4-14ad-4e97-d46a69198310