Claim total
$45,786.66
base $155.66 · payer covered $45,636.66
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-12
- Stop
- 2023-04-12
The parties
- Patient
- patient Sherrie McLaughlin
- Provider
- provider Donette Hilpert
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
3ac05078-eaa5-56d0-9c83-979e0d9b94f1