Claim total
$10,937.21
base $155.66 · payer covered $10,937.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-11-10
- Stop
- 2018-11-10
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Marcus Douglas
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-c9bb-8375d8240efd