Claim total
$38,029.95
base $155.66 · payer covered $37,879.95
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-03-08
- Stop
- 2026-03-08
The parties
- Patient
- patient Kecia Laronda Gutmann
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicaid
Record id
22bfda0f-f26b-a7e0-18ae-667cbdf021f3