Claim total
$6,751.80
base $155.66 · payer covered $6,701.80
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-05-13
- Stop
- 2019-05-13
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-b5b0-5871eafd0cf7