Claim total
$5,290.88
base $155.66 · payer covered $5,290.88
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-03-04
- Stop
- 2022-03-04
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Irmgard Padberg
Record id
00cb11fd-f3f7-0950-883a-2d6f3809d7ad