Claim total
$50,164.66
base $155.66 · payer covered $50,114.66
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-29
- Stop
- 2022-04-29
The parties
- Patient
- patient Shalonda Akilah Stracke
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
33fb748d-ae01-2172-2c4a-1808384d572b