Claim total
$34,334.68
base $155.66 · payer covered $20,884.28
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-09-11
- Stop
- 2017-09-11
The parties
- Patient
- patient Rosa Mónica Zapata
- Provider
- provider Liz Kozey
Record id
135b2c6c-3714-646c-726d-5b09937ef58c