Claim total
$32,162.31
base $155.66 · payer covered $15,640.99
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-06-29
- Stop
- 2021-06-29
The parties
- Patient
- patient Zetta Akilah Padberg
- Provider
- provider Trinity Mraz
- Payer
- payer Humana
Record id
1a44470c-63f0-5269-ef93-3ca9e20b2e67