Claim total
$40,629.19
base $155.66 · payer covered $21,212.64
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-25
- Stop
- 2021-04-25
The parties
- Patient
- patient Masako Leonore Dibbert
- Provider
- provider Jo Stiedemann
- Payer
- payer Aetna
Record id
239ee417-8147-4096-a192-ea270774e509