Claim total
$39,733.44
base $155.66 · payer covered $39,583.44
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-05-08
- Stop
- 2018-05-08
The parties
- Patient
- patient Cecilia Carlotta Dare
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
10283845-038a-ac5a-025f-4748550fe118