Claim total
$42,238.15
base $155.66 · payer covered $29,566.72
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-02-04
- Stop
- 2022-02-04
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Pasquale Grimes
Record id
00cb11fd-f3f7-0950-416f-09906dd6fead