Claim total
$13,014.90
base $155.66 · payer covered $13,014.90
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-06-24
- Stop
- 2022-06-24
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Trinity Mraz
Record id
00cb11fd-f3f7-0950-c395-9d4298dfd33c