Claim total
$44,372.67
base $155.66 · payer covered $44,222.67
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-10-02
- Stop
- 2016-10-02
The parties
- Patient
- patient Lynelle Kessler
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
15d3af57-b439-31d5-038b-13232c18a674