Claim total
$11,347.03
base $155.66 · payer covered $11,312.03
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-07-15
- Stop
- 2019-07-15
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Criselda Bartell
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-f2da-b142dc3e4d4a