Claim total
$42,396.16
base $155.66 · payer covered $42,361.16
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-25
- Stop
- 2017-01-25
The parties
- Patient
- patient Natacha Mertz
- Provider
- provider Pasquale Grimes
- Payer
- payer Dual Eligible
Record id
26aae4f1-7e29-a4a4-e906-d01a22ed11b3