Claim total
$47,079.25
base $155.66 · payer covered $24,975.83
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-05-02
- Stop
- 2016-05-02
The parties
- Patient
- patient Amal Adrianna Macejkovic
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
1cccf0c5-760b-d19d-dee9-99fe2b6a50f5