Claim total
$4,468.28
base $155.66 · payer covered $4,318.28
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-08-05
- Stop
- 2024-08-05
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-7c8e-64dba7227ca4