Claim total
$35,692.09
base $155.66 · payer covered $21,415.26
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-09-16
- Stop
- 2016-09-16
The parties
- Patient
- patient Lynne Aileen Kunde
- Provider
- provider Pasquale Grimes
- Payer
- payer Aetna
Record id
0adabb52-a752-f68a-3cc6-48e06a65ac76