Claim total
$53,643.61
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-04-17
- Stop
- 2019-04-17
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Leta Sipes
- Payer
- payer No insurance
Record id
043d6e13-0cc7-07f3-388e-b8235f101de9