Claim total
$43,551.00
base $155.66 · payer covered $43,501.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-06-02
- Stop
- 2024-06-02
The parties
- Patient
- patient Sanora Obdulia Purdy
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
099d03ef-7915-0617-28db-2da8ff90f16e