Claim total
$52,890.15
base $155.66 · payer covered $37,023.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-10-30
- Stop
- 2022-10-30
The parties
- Provider
- provider Liz Kozey
- Payer
- payer Cigna Health
Record id
21fad517-d93d-a5ae-5812-c11138839640