Claim total
$10,670.55
base $155.66 · payer covered $7,370.04
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-08-31
- Stop
- 2024-08-31
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Liz Kozey
- Payer
- payer Anthem
Record id
001727b6-dbde-2493-7d02-47b8f174ea8a