Claim total
$6,319.61
base $155.66 · payer covered $6,284.61
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-11-18
- Stop
- 2019-11-18
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Hazel Effertz
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-dd30-4843413237a4