Claim total
$29,392.75
base $155.66 · payer covered $17,424.93
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-06-11
- Stop
- 2025-06-11
The parties
- Patient
- patient Sona Valerie Bogan
- Provider
- provider Julee Jones
Record id
2306bff0-2b59-d00f-a457-93c090b1ec7e