Claim total
$55,150.66
base $155.66 · payer covered $36,465.77
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-01-25
- Stop
- 2020-01-25
The parties
- Patient
- patient Ruby Hills
- Provider
- provider Ramiro Boehm
Record id
389e2ea0-3c1b-1238-8d68-9ee5347c46d8