Claim total
$14,589.96
base $155.66 · payer covered $10,212.97
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-05-12
- Stop
- 2023-05-12
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Irmgard Padberg
Record id
00cb11fd-f3f7-0950-c0ef-c305785acd2e