Claim total
$978.26
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Fetus with chromosomal abnormality267253006
- Start
- 2002-02-06
- Stop
- 2002-02-06
The parties
- Patient
- patient Carolee Shenna Franecki
- Provider
- provider Marcus Douglas
- Payer
- payer No insurance
Record id
05da998f-3dd0-aeca-deac-3d86111ae89a