Claim total
$5,813.25
base $155.66 · payer covered $919.28
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-07-22
- Stop
- 2022-07-22
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Jo Stiedemann
Record id
00cb11fd-f3f7-0950-734b-46583c2a0d5f