Claim total
$35,795.13
base $155.66 · payer covered $35,645.13
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-05-31
- Stop
- 2016-05-31
The parties
- Patient
- patient Cecilia Carlotta Dare
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
10283845-038a-ac5a-2f85-904d768ce628