Claim total
$39,431.32
base $155.66 · payer covered $21,482.05
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-20
- Stop
- 2021-04-20
The parties
- Patient
- patient Rosario Lucia Avilés
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
199a763e-853b-2729-6ea9-fe7cdca3fd9a