Claim total
$42,037.53
base $155.66 · payer covered $41,887.53
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-02-02
- Stop
- 2021-02-02
The parties
- Patient
- patient Shizuko Joy Price
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
27e81d26-9810-2f2f-a67f-c9feac6b5419