Claim total
$7,067.02
base $155.66 · payer covered $7,017.02
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-07-07
- Stop
- 2026-07-07
The parties
- Patient
- patient Annamarie Mollie Hoppe
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
0555f11c-c453-57eb-e5d7-2fbb4e3f08b6