Claim total
$37,495.32
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1985-08-17
- Stop
- 1985-08-17
The parties
- Patient
- patient Milissa Tien Smitham
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
20b28cd3-f10e-9c06-3df3-2f3a884eeabb