Claim total
$44,884.69
base $155.66 · payer covered $44,834.69
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-08-20
- Stop
- 2016-08-20
The parties
- Patient
- patient Sacha Sharita Hodkiewicz
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
3428133e-e709-f6fe-f701-4720dd4214bb