Claim total
$6,542.07
base $127.17 · payer covered $6,492.07
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-08-14
- Stop
- 2021-08-14
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-fa39-e1fb4aa2ffcb