Claim total
$14,913.80
base $127.17 · payer covered $14,863.80
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-08-30
- Stop
- 2025-08-30
The parties
- Patient
- patient Belva Nadene Kuphal
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
0430ce7c-cb64-da75-4219-ee9a35a087b9