Claim total
$5,262.72
base $155.66 · payer covered $3,157.64
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1945-12-18
- Stop
- 1945-12-18
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Julee Jones
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-7548-5f578478a17e