Claim total
$31,939.62
base $155.66 · payer covered $15,507.37
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-12-25
- Stop
- 2017-12-25
The parties
- Patient
- patient Avery Tamekia Adams
- Provider
- provider Marcus Douglas
- Payer
- payer Humana
Record id
0ef447aa-1d55-83c2-8506-820cd1e3f55f