Claim total
$44,839.03
base $155.66 · payer covered $44,789.03
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-07-27
- Stop
- 2018-07-27
The parties
- Patient
- patient Elia Felicia Mueller
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2a6e0e9c-1e79-6845-0698-9508b70c8acc