Claim total
$6,728.84
base $155.66 · payer covered $6,678.84
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-09-30
- Stop
- 2019-09-30
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-d18d-834bd0d2a550