Claim total
$3,185.52
base $155.66 · payer covered $2,548.41
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-09-11
- Stop
- 2025-09-11
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Trinity Mraz
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-92d2-cf275a6daf21