Claim total
$36,821.70
base $155.66 · payer covered $36,771.70
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1990-09-27
- Stop
- 1990-09-27
The parties
- Patient
- patient Adina Jerlene Baumbach
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
13decf1b-6d14-8aef-3e30-0486729b2318