Claim total
$41,260.55
base $155.66 · payer covered $21,099.91
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-06-16
- Stop
- 2026-06-16
The parties
- Patient
- patient Jammie Rippin
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Aetna
Record id
2471679b-8c00-2fe1-cc52-9b9703139777