Claim total
$3,818.06
base $127.17 · payer covered $3,818.06
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-10-13
- Stop
- 2018-10-14
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Elisabeth Smith
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-9c77-2dd24091c00c