Claim total
$14,491.21
base $155.66 · payer covered $14,441.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-11-18
- Stop
- 2019-11-18
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Silas Conn
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-4c7b-920c190e8070