Claim total
$5,580.48
base $155.66 · payer covered $5,545.48
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-11-04
- Stop
- 2019-11-04
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-6479-ee2ade3adedd