Claim total
$32,755.42
base $155.66 · payer covered $32,605.42
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-06-18
- Stop
- 2021-06-18
The parties
- Patient
- patient Tula Kling
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
383ff4f1-a088-f43e-7cfd-ad771d44fb23