Claim total
$49,503.12
base $155.66 · payer covered $49,453.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-11-20
- Stop
- 2016-11-20
The parties
- Patient
- patient Kittie Olevia Walter
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
178c01a3-2a21-ca97-ddbc-0dfff5f9dbc0