Claim total
$49,456.30
base $155.66 · payer covered $49,306.30
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1983-03-28
- Stop
- 1983-03-28
The parties
- Patient
- patient Oralia Quitzon
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
0eb80311-b4cb-d3cb-9b5e-1e2ea677fa88