Claim total
$47,364.58
base $155.66 · payer covered $47,314.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-04-15
- Stop
- 2019-04-15
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Silas Conn
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-03c5-59fe0e8b68c1