Claim total
$31,149.53
base $155.66 · payer covered $31,099.53
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-06-10
- Stop
- 2019-06-10
The parties
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
383780d4-76d3-25d1-cd6b-6fcad2a023d1