Claim total
$46,961.25
base $155.66 · payer covered $46,911.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-05-13
- Stop
- 2024-05-13
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-6688-ddf530ec1091