Claim total
$41,280.76
base $155.66 · payer covered $41,130.76
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-09-28
- Stop
- 2017-09-28
The parties
- Patient
- patient Eula Hane
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
1c92c362-fad3-18d7-a8ef-3256055214f8