Claim total
$54,762.89
base $155.66 · payer covered $37,968.06
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-03
- Stop
- 2021-01-04
The parties
- Patient
- patient Lonnie Larkin
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Cigna Health
Record id
23b2f8e1-4868-fc1e-73aa-2c2bd1924c1c