Claim total
$15,905.86
base $155.66 · payer covered $15,855.86
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-03-23
- Stop
- 2021-03-23
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-9d4a-c44f4548dc6c