Claim total
$43,414.73
base $155.66 · payer covered $43,264.73
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-12-11
- Stop
- 2016-12-11
The parties
- Patient
- patient Novella Consuelo Nicolas
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
073c3e67-985b-6205-285c-9e3c1c49c68e