Claim total
$42,388.67
base $155.66 · payer covered $42,338.67
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2008-02-25
- Stop
- 2008-02-25
The parties
- Patient
- patient María Micaela Magaña
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
0b835039-e875-4ecd-5a6e-cbb2f3322203