Claim total
$9,293.78
base $155.66 · payer covered $9,293.78
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-01
- Stop
- 2022-04-01
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Burton O'Conner
Record id
00cb11fd-f3f7-0950-3b42-fd5fc5f5511a