Claim total
$39,401.24
base $155.66 · payer covered $39,351.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1984-04-02
- Stop
- 1984-04-02
The parties
- Patient
- patient Oralia Quitzon
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
0eb80311-b4cb-d3cb-f751-cc09f18d1634