Claim total
$8,662.76
base $155.66 · payer covered $8,662.76
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-03-02
- Stop
- 2019-03-02
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Liz Kozey
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-c35c-26e6fc73fda0