Claim total
$44,374.09
base $155.66 · payer covered $44,324.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-07-15
- Stop
- 2017-07-15
The parties
- Patient
- patient Demetrius Kellye Brown
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
34d00a16-aef5-c007-4f09-92a671b1ae52