Claim total
$35,102.88
base $155.66 · payer covered $35,052.88
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-10-12
- Stop
- 2019-10-12
The parties
- Patient
- patient Patrice Stoltenberg
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
1db80c18-5cf5-3854-4f61-2a0feffba1d9