Claim total
$31,792.05
base $155.66 · payer covered $31,742.05
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-08-31
- Stop
- 2020-08-31
The parties
- Patient
- patient Jannette Hegmann
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicaid
Record id
3756471c-1eae-803d-3b8a-d5c361f55001