Claim total
$47,964.75
base $155.66 · payer covered $47,914.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-05-02
- Stop
- 2016-05-02
The parties
- Patient
- patient Doris Heathcote
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
18a48ad3-860f-6d9d-9127-898941827c90