Claim total
$44,394.07
base $155.66 · payer covered $44,244.07
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-05
- Stop
- 2023-03-05
The parties
- Patient
- patient Jolyn Lizette Keeling
- Provider
- provider Silas Conn
- Payer
- payer Medicaid
Record id
28d785bf-7b54-eb32-f088-2dd350cb4407