Claim total
$13,205.97
base $155.66 · payer covered $13,205.97
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-10-13
- Stop
- 2018-10-13
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Floyd Toy
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-cbd4-0c44c49d187a