Claim total
$43,552.52
base $155.66 · payer covered $43,402.52
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-05-05
- Stop
- 2018-05-05
The parties
- Patient
- patient Sacha Sharita Hodkiewicz
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
3428133e-e709-f6fe-7403-86d53afb672e