Claim total
$48,511.58
base $155.66 · payer covered $38,809.26
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-12-03
- Stop
- 2019-12-03
The parties
- Patient
- patient Soledad Delores Renner
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicare
Record id
2201f761-9b24-e098-4101-337479a5680d