Claim total
$10,937.21
base $155.66 · payer covered $10,937.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-02-02
- Stop
- 2019-02-02
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Silas Conn
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-6f79-0388645a373c