Claim total
$46,770.82
base $155.66 · payer covered $46,720.82
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-04-04
- Stop
- 2016-04-04
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Liz Kozey
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-cdf6-569d3943da28