Claim total
$34,458.50
base $155.66 · payer covered $34,308.50
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2003-12-05
- Stop
- 2003-12-05
The parties
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
27d44017-ab24-4e1b-6eed-5455d730edaa