Claim total
$45,979.77
base $155.66 · payer covered $45,929.77
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2002-04-05
- Stop
- 2002-04-05
The parties
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicaid
Record id
27d44017-ab24-4e1b-b4d8-fdffce1cdc26