Claim total
$7,243.69
base $155.66 · payer covered $7,243.69
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-12-08
- Stop
- 2018-12-08
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Floyd Toy
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-cba4-8afd5306b9dd