Claim total
$37,748.08
base $155.66 · payer covered $25,992.31
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-07-05
- Stop
- 2017-07-05
The parties
- Patient
- patient Sona Valerie Bogan
- Provider
- provider Julee Jones
Record id
2306bff0-2b59-d00f-a5d3-777e5f56e2b0