Claim total
$50,035.78
base $155.66 · payer covered $49,885.78
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-09-05
- Stop
- 2023-09-05
The parties
- Patient
- patient Oda Charlene Greenholt
- Provider
- provider Penni Kuphal
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
09bd4fa1-2020-852b-0b83-1075dafe88d0