Claim total
$53,438.10
base $155.66 · payer covered $53,388.10
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-23
- Stop
- 2024-07-23
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-09ea-f2a21d3ae24f