Claim total
$43,222.40
base $155.66 · payer covered $43,172.40
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-03-14
- Stop
- 2025-03-14
The parties
- Patient
- patient Elia Felicia Mueller
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2a6e0e9c-1e79-6845-79c5-321fa7fd8f34