Claim total
$978.26
base $155.66 · payer covered $928.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 1989-02-08
- Stop
- 1989-02-08
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
023818a4-3852-fbab-e519-d3f03580674a