Claim total
$49,382.49
base $155.66 · payer covered $49,332.49
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-01-31
- Stop
- 2022-01-31
The parties
- Patient
- patient Latia Edna Ullrich
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
366476ce-6427-c6cf-faa2-b11c1e54661d