Claim total
$12,726.14
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-06-12
- Stop
- 2019-06-12
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
043d6e13-0cc7-07f3-432d-0abdf7d39626