Claim total
$46,066.61
base $155.66 · payer covered $36,853.28
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-08-18
- Stop
- 2018-08-18
The parties
- Patient
- patient Cassandra Teofila Stamm
- Provider
- provider Jo Stiedemann
- Payer
- payer Anthem
Record id
39fcdcc4-3c12-057a-3d94-3d54bbbc3707