Claim total
$13,179.49
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-05-15
- Stop
- 2019-05-15
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
043d6e13-0cc7-07f3-d120-554d4ed386b7