Claim total
$38,511.60
base $155.66 · payer covered $38,461.60
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-05
- Stop
- 2023-04-05
The parties
- Patient
- patient Dolores Elvira Cavazos
- Provider
- provider Arlinda Dickens
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
322b2c58-05f4-c3ad-ee38-40bf9682dc6c