Claim total
$27,773.03
base $155.66 · payer covered $19,441.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-06-23
- Stop
- 2024-06-23
The parties
- Patient
- patient Marlana Loren Wiegand
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0cc65fea-7da9-3528-45a7-f4b7ee4876e2