Claim total
$56,538.69
base $155.66 · payer covered $31,177.08
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-08-09
- Stop
- 2016-08-09
The parties
- Patient
- patient Edie Victoria Zulauf
- Provider
- provider Julee Jones
- Payer
- payer Humana
Record id
2fbaa88f-9da9-5871-07c0-b4817a3c46bb