Claim total
$42,041.57
base $155.66 · payer covered $41,991.57
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-10-02
- Stop
- 2024-10-02
The parties
- Patient
- patient Sherrie McLaughlin
- Provider
- provider Bethanie Wintheiser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
3ac05078-eaa5-56d0-8611-14580c3c7c53