Claim total
$45,499.33
base $155.66 · payer covered $29,922.64
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-12-24
- Stop
- 2018-12-24
The parties
- Patient
- patient Rosa Mónica Zapata
- Provider
- provider Ross Stehr
Record id
135b2c6c-3714-646c-b921-fe129decd0ff