Claim total
$43,441.29
base $155.66 · payer covered $43,391.29
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-05-27
- Stop
- 2016-05-27
The parties
- Patient
- patient Clarence Sha Osinski
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
1742504b-9d2c-1099-bc9c-b0aaa651f76d