Claim total
$46,602.89
base $155.66 · payer covered $46,567.89
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-07-26
- Stop
- 2019-07-26
The parties
- Patient
- patient Freddie Eneida Johnston
- Provider
- provider Minh Thiel
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
266dd9ea-09f0-0693-34bb-eb454e9a43f3