Claim total
$40,545.25
base $155.66 · payer covered $23,251.76
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-05-01
- Stop
- 2018-05-01
The parties
- Patient
- patient Rosario Lucia Avilés
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
199a763e-853b-2729-9a1c-fb79b054297f