Claim total
$48,800.81
base $155.66 · payer covered $48,750.81
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-05-09
- Stop
- 2024-05-09
The parties
- Patient
- patient Janetta Carisa Murphy
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0f64bcb5-b3ee-f26f-68a1-0757df9697bf