Claim total
$11,719.20
base $155.66 · payer covered $11,719.20
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-09-15
- Stop
- 2018-09-15
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Floyd Toy
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-0805-0ccc5ad0b229