Claim total
$8,559.09
base $127.17 · payer covered $8,509.09
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-12-30
- Stop
- 2024-12-30
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Reginald Bruen
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-48b2-d533a2d2bab7