Claim total
$4,249.70
base $93.39 · payer covered $4,249.70
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-26
- Stop
- 2017-01-26
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Burton O'Conner
Record id
00cb11fd-f3f7-0950-f13c-dddaeb2dea2c