Claim total
$45,299.32
base $155.66 · payer covered $45,249.32
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-01-19
- Stop
- 2024-01-19
The parties
- Patient
- patient Clarence Sha Osinski
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
1742504b-9d2c-1099-f5fb-99ac86210191