Claim total
$42,707.97
base $155.66 · payer covered $42,657.97
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-29
- Stop
- 2020-10-29
The parties
- Patient
- patient Eula Hane
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
1c92c362-fad3-18d7-06ed-055057443d7c