Claim total
$9,960.76
base $127.17 · payer covered $9,960.76
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-12
- Stop
- 2017-02-12
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Bennie O'Keefe
- Payer
- payer Humana
Record id
002d4429-df26-5797-2095-fdbbd5fd18b3