Claim total
$44,750.85
base $155.66 · payer covered $44,715.85
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2000-09-24
- Stop
- 2000-09-24
The parties
- Patient
- patient Enid Ignacia Barrows
- Provider
- provider Jo Stiedemann
- Payer
- payer Dual Eligible
Record id
2619cead-04c9-109e-0117-34e74b6db9a6