Claim total
$53,970.80
base $155.66 · payer covered $53,920.80
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-12-16
- Stop
- 2021-12-16
The parties
- Patient
- patient Eula Hane
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
1c92c362-fad3-18d7-fe39-c00aaa019e98