Claim total
$54,622.92
base $155.66 · payer covered $54,572.92
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-04-29
- Stop
- 2026-04-29
The parties
- Patient
- patient Dolores Elvira Cavazos
- Provider
- provider Minh Thiel
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
322b2c58-05f4-c3ad-bf3c-47e9b55996d5