Claim total
$39,219.46
base $155.66 · payer covered $25,011.89
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-09-06
- Stop
- 2023-09-06
The parties
- Patient
- patient Vicky Alvera Gulgowski
- Provider
- provider Liz Kozey
Record id
25ad8aae-d2b9-f615-dab9-875600fd79eb