Claim total
$40,344.28
base $155.66 · payer covered $40,294.28
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-03-22
- Stop
- 2019-03-22
The parties
- Patient
- patient Clarence Sha Osinski
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
1742504b-9d2c-1099-97ef-4978d5368e38