Claim total
$44,728.79
base $155.66 · payer covered $44,678.79
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-03-30
- Stop
- 2020-03-30
The parties
- Patient
- patient Doris Heathcote
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
18a48ad3-860f-6d9d-3dc3-4072dcf2b90e