Claim total
$43,483.71
base $155.66 · payer covered $43,433.71
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-10-13
- Stop
- 2023-10-13
The parties
- Patient
- patient Lanora Joycelyn Maggio
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
24517fae-7c38-3dbe-0221-5afa07285745