Claim total
$7,073.15
base $155.66 · payer covered $7,073.15
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-29
- Stop
- 2022-04-29
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Harold Hagenes
Record id
00cb11fd-f3f7-0950-f71b-0f4d06445eb9