Claim total
$53,604.31
base $155.66 · payer covered $53,569.31
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-04-22
- Stop
- 2019-04-22
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Ramiro Boehm
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-3b8e-7b4023160e7a