Claim total
$48,491.67
base $155.66 · payer covered $48,341.67
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-12-22
- Stop
- 2019-12-22
The parties
- Patient
- patient Myrtle Tana Casper
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
2a4c8829-e297-058f-ec71-25c02c45013a