Claim total
$50,937.23
base $155.66 · payer covered $50,787.23
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-10-08
- Stop
- 2018-10-08
The parties
- Patient
- patient Kristin Latrice Keebler
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
2ce0929e-53d1-6ae1-94d7-fe8a0af4e866