Claim total
$4,660.43
base $127.17 · payer covered $4,610.43
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-25
- Stop
- 2017-02-25
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-bf84-aacbf822e8e9