Claim total
$49,197.79
base $155.66 · payer covered $49,147.79
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-03-18
- Stop
- 2018-03-18
The parties
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
32e00f15-89ac-2f36-41a4-656c21389cbe