Claim total
$6,087.75
base $155.66 · payer covered $6,052.75
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-10-07
- Stop
- 2019-10-07
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Rosio Gleason
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-1703-ce96e9c06c22