Claim total
$12,973.58
base $155.66 · payer covered $12,973.58
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-05-27
- Stop
- 2022-05-27
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Trinity Mraz
Record id
00cb11fd-f3f7-0950-a7f6-a0db38bd65ae