Claim total
$6,396.49
base $155.66 · payer covered $4,477.55
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-19
- Stop
- 2022-08-19
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Harold Hagenes
Record id
00cb11fd-f3f7-0950-80f6-40603abf1329