Claim total
$43,565.75
base $155.66 · payer covered $23,850.74
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-26
- Stop
- 2023-03-26
The parties
- Patient
- patient Jerrica Macie Waters
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
194333b2-0fcf-d604-8616-610447e092ad