Claim total
$8,927.00
base $155.66 · payer covered $8,892.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-09-09
- Stop
- 2019-09-09
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Kelvin Reichel
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-c2a0-4b8e4b4648a8