Claim total
$43,854.23
base $155.66 · payer covered $43,704.23
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-11-02
- Stop
- 2023-11-02
The parties
- Patient
- patient Tamra Darlena Feeney
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
39f891f2-42e3-2507-9945-97d91c26a643