Claim total
$9,556.99
base $155.66 · payer covered $9,506.99
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-01-07
- Stop
- 2025-01-07
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-e631-35c16282fb04