Claim total
$47,519.03
base $155.66 · payer covered $47,469.03
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-03-13
- Stop
- 2024-03-13
The parties
- Patient
- patient Dolores Elvira Cavazos
- Provider
- provider Minh Thiel
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
322b2c58-05f4-c3ad-5c46-681ec144dec0