Claim total
$34,448.49
base $155.66 · payer covered $23,984.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-02-24
- Stop
- 2018-02-24
The parties
- Patient
- patient Aletha Quinn Littel
- Provider
- provider Leta Sipes
- Payer
- payer Cigna Health
Record id
381f3736-3813-7483-3074-bdf4a350f217