Claim total
$30,347.11
base $155.66 · payer covered $30,297.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-08-26
- Stop
- 2017-08-26
The parties
- Patient
- patient Carlotta Arthur Bradtke
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
326580b5-448f-6772-bb79-3917f1fdf13e