Claim total
$45,764.84
base $155.66 · payer covered $45,714.84
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-06
- Stop
- 2021-04-06
The parties
- Patient
- patient Oda Charlene Greenholt
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
09bd4fa1-2020-852b-cfdd-3faf61774ded