Claim total
$34,035.86
base $155.66 · payer covered $33,885.86
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-09-05
- Stop
- 2020-09-05
The parties
- Patient
- patient Kevin Lorriane Watsica
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
13023c5f-e380-bae7-c70e-1a48f113cdf6