Claim total
$42,453.92
base $155.66 · payer covered $42,303.92
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-10-16
- Stop
- 2023-10-16
The parties
- Patient
- patient Teofila Virgina Tremblay
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
2571e7af-af29-523c-70db-ae6c24f198bc