Claim total
$11,000.68
base $155.66 · payer covered $10,965.68
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-11-25
- Stop
- 2019-11-25
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Andria Spinka
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-bf9d-d055e1b80809