Claim total
$39,105.09
base $155.66 · payer covered $24,620.43
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-08-18
- Stop
- 2018-08-18
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Ross Stehr
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-f5d6-64d5006671ea