Claim total
$978.26
base $155.66 · payer covered $978.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 2023-05-20
- Stop
- 2023-05-20
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Jo Stiedemann
Record id
00cb11fd-f3f7-0950-8d27-442d355fb0e5