Claim total
$6,400.09
base $155.66 · payer covered $6,350.09
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-11-04
- Stop
- 2024-11-04
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-5a83-56dd97c2541e