Claim total
$52,211.86
base $155.66 · payer covered $52,176.86
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-03-07
- Stop
- 2018-03-07
The parties
- Patient
- patient Natacha Mertz
- Provider
- provider Harold Hagenes
- Payer
- payer Dual Eligible
Record id
26aae4f1-7e29-a4a4-8cf7-8c18758da744