Claim total
$9,265.45
base $155.66 · payer covered $1,902.87
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1945-11-20
- Stop
- 1945-11-20
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Julee Jones
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-610c-51edb6a31eb2