Claim total
$40,803.25
base $155.66 · payer covered $40,753.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-09-25
- Stop
- 2021-09-25
The parties
- Patient
- patient Logan Mozella Maggio
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
14a52ea1-ff22-aba9-2de4-55fb8f1da2ae