Claim total
$39,942.89
base $155.66 · payer covered $24,810.03
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-03-28
- Stop
- 2021-03-28
The parties
- Patient
- patient Louann Kulas
- Provider
- provider Burton O'Conner
Record id
2a098ee4-b472-5a9e-ccc3-9a9e2710054f