Claim total
$37,942.78
base $155.66 · payer covered $37,892.78
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-04-08
- Stop
- 2019-04-08
The parties
- Patient
- patient Kam Ching Pollich
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0681ce4b-c984-7822-8f92-75c440324c55