Claim total
$27,306.55
base $155.66 · payer covered $18,167.70
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-06-27
- Stop
- 2018-06-27
The parties
- Patient
- patient Sona Valerie Bogan
- Provider
- provider Julee Jones
Record id
2306bff0-2b59-d00f-f762-5b9c8e62a743