Claim total
$9,324.70
base $155.66 · payer covered $9,274.70
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-06-10
- Stop
- 2024-06-10
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-a980-4befdbd6ab2d