Claim total
$43,216.98
base $155.66 · payer covered $43,166.98
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-11-09
- Stop
- 2018-11-09
The parties
- Patient
- patient Elfreda Lonna Reichert
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
179f37af-fa81-07e9-b9f4-4715d593dd7f