Claim total
$42,908.85
base $155.66 · payer covered $34,327.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-07-06
- Stop
- 2016-07-06
The parties
- Patient
- patient Karen Yesenia Ledner
- Provider
- provider Penni Kuphal
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
13beb361-b7b4-8b75-9c36-1f04405ffb90