Claim total
$31,047.79
base $155.66 · payer covered $15,643.44
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-06-12
- Stop
- 2016-06-12
The parties
- Patient
- patient Shery Witting
- Provider
- provider Minh Thiel
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
11fd5a97-02b2-f430-7499-bf51a7003588