Claim total
$2,777.09
base $127.17 · payer covered $1,943.96
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-02
- Stop
- 2022-09-02
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Elisabeth Smith
Record id
00cb11fd-f3f7-0950-b672-edd27fceb2ad