Claim total
$50,292.47
base $155.66 · payer covered $50,242.47
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-10-27
- Stop
- 2019-10-27
The parties
- Patient
- patient Magali Letty Pouros
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0ed551f1-148d-ca02-46fd-e28d66eb03c9