Claim total
$41,023.99
base $155.66 · payer covered $21,380.65
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-04-09
- Stop
- 2024-04-09
The parties
- Patient
- patient Zetta Akilah Padberg
- Provider
- provider Burton O'Conner
- Payer
- payer Humana
Record id
1a44470c-63f0-5269-7ec1-8f631907258f