Claim total
$18,684.24
base $155.66 · payer covered $18,634.24
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-09-02
- Stop
- 2019-09-02
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-e8ae-34e7b58b5cf2