Claim total
$34,750.54
base $155.66 · payer covered $34,600.54
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-10-24
- Stop
- 2023-10-24
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-f986-9387-6040027459c4