Claim total
$43,309.72
base $155.66 · payer covered $43,259.72
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-08-28
- Stop
- 2017-08-28
The parties
- Patient
- patient Jovan Isabel Okuneva
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
0ad0b04b-62fb-fe8a-b128-c45a9ba6eee6