Claim total
$12,263.43
base $155.66 · payer covered $12,263.43
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-03-16
- Stop
- 2019-03-16
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Ross Stehr
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-784b-f21f5469a165