Claim total
$39,623.61
base $155.66 · payer covered $20,117.76
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1945-09-25
- Stop
- 1945-09-25
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Julee Jones
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-be35-2c9114f113e5