Claim total
$1,361.07
base $127.17 · payer covered $1,361.07
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-08-31
- Stop
- 2024-09-01
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Elisabeth Smith
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-ea5d-36ffa39654fe