Claim total
$1,421.56
base $155.66 · payer covered $1,421.56
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-02
- Stop
- 2017-02-02
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Pasquale Grimes
Record id
00cb11fd-f3f7-0950-5c7e-52166c712f0d