Claim total
$7,511.65
base $127.17 · payer covered $7,511.65
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-07-07
- Stop
- 2025-07-07
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Aetna
Record id
006af299-d813-2b4f-ecf2-60e6a19a6a5a