Claim total
$41,455.14
base $155.66 · payer covered $41,305.14
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-12-19
- Stop
- 2021-12-19
The parties
- Patient
- patient Winifred Lelah Zulauf
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
1422a51d-cc3d-7733-52bd-57666f1ad215