Claim total
$35,819.39
base $155.66 · payer covered $18,175.42
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-12-04
- Stop
- 2025-12-04
The parties
- Patient
- patient Celena Kim Champlin
- Provider
- provider Julee Jones
- Payer
- payer Aetna
Record id
076b2127-cf52-7b65-7dcf-1b0bf77d8b97