Claim total
$7,444.66
base $93.39 · payer covered $5,955.73
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-09-14
- Stop
- 2024-09-14
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Liz Kozey
- Payer
- payer Anthem
Record id
001727b6-dbde-2493-5344-577fb86c7289