Claim total
$33,492.11
base $155.66 · payer covered $33,342.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-12-25
- Stop
- 2022-12-25
The parties
- Patient
- patient Sherron Mohr
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0ceab98b-52e7-ab40-3fb0-542062dc8faa