Claim total
$33,903.19
base $155.66 · payer covered $33,753.19
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-08-09
- Stop
- 2016-08-09
The parties
- Patient
- patient Rose Enola Mann
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicaid
Record id
0e253527-504c-e850-5520-ee76dd8b37cd