Claim total
$41,145.59
base $155.66 · payer covered $41,095.59
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-03-27
- Stop
- 2019-03-27
The parties
- Patient
- patient Dolores Elvira Cavazos
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
322b2c58-05f4-c3ad-25c6-b2daf270095b