Claim total
$6,059.34
base $155.66 · payer covered $6,009.34
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-11-03
- Stop
- 2020-11-03
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-1ef6-75520953b8aa