Claim total
$33,970.21
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-21
- Stop
- 2017-01-21
The parties
- Patient
- patient Elois Felisha Simonis
- Provider
- provider Pasquale Grimes
- Payer
- payer No insurance
Record id
39162559-8ecc-f67b-9ce3-c773450ee3dd