Claim total
$32,131.60
base $155.66 · payer covered $25,705.29
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2004-10-29
- Stop
- 2004-10-29
The parties
- Patient
- patient Dorotea Adame
- Provider
- provider Minh Thiel
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
18706a0f-81b0-8388-102d-3ccea8e07f48