Claim total
$50,012.96
base $155.66 · payer covered $49,977.96
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-08-22
- Stop
- 2021-08-22
The parties
- Patient
- patient Wendie Kellie Reynolds
- Provider
- provider Harold Hagenes
- Payer
- payer Dual Eligible
Record id
2d63fa27-766d-775f-a1cf-7e92f57a97c2