Claim total
$49,046.01
base $155.66 · payer covered $48,996.01
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-12-23
- Stop
- 2025-12-23
The parties
- Patient
- patient Tawna Shirly Reilly
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1894ea31-da3f-f986-0681-5c2ad61fbbc5